Active NPI
James Ketterman, CRNA
- Certified Registered Nurse Anesthetist
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN71292
- Practice address
- 305 S 5TH St
Enid, OK 73701-5832 - Phone
- (580) 233-6100
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN71292 | OK | Primary |
Addresses
Primary practice location
305 S 5TH St
Enid, OK 73701-5832
Mailing address
305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5925 NW 139TH St
Oklahoma City, OK 73142-1922
Phone (405) 621-8800
8100 S Walker Ave
BLDG C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500
Hospital & facility affiliations
- Oklahoma Center for Orthopaedic & Multi-SP
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN71292 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Western Oklahoma Anesthesia Consultants PLLC | Current | Accepting new patients | |
| Enid Surgical Anesthesia LLC | Current | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
1133 W Willow Rd
Enid, OK 73703
Phone (580) 233-7171
8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500
100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
-
- Anesthesiology Physician
- Enid, OK
- NPI 1134416373
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1063489458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1457539454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015832",
"telephone_number": "580-233-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015832",
"telephone_number": "580-233-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETTERMAN",
"first_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "RN71292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.