Active NPI
Courtney Lynn Ketch, M.D.
- Obstetrics Physician
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- A168350
- Practice address
- 1205 Health Center Pkwy Ste 240a
Yukon, OK 73099-6396 - Phone
- (405) 717-5496
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics Physician | 207VX0000X | A168350 | CA | Primary |
Addresses
Primary practice location
1205 Health Center Pkwy Ste 240a
Yukon, OK 73099-6396
Mailing address
1205 Health Center Pkwy Ste 240a
Yukon, OK 73099-6396
Phone (405) 717-5496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45005 | Other | OK | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://integrishealth.org/doctors/courtney-ketch |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Oklahoma College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 Health Ctr Pkwy
Suite 240a
Yukon, OK 73099-6396
Phone (405) 717-5496
Hospital & facility affiliations
- Integris Canadian Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168350 | CA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| South Bay OB/GYN Medical Group, Inc. | Past | Accepting new patients | |
| Integris Ambulatory Care C Orporation | Past | Accepting new patients | |
| Integris Canadian Valley Hospital | Past | Accepting new patients |
Locations
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
1205 Health Center Pkwy
Ste 240A
Yukon, OK 73099
Phone (405) 717-5496
Interoperability endpoints
- cketch541057@direct.integrisok.com
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Obstetrics & Gynecology
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1326076027
-
- General Acute Care Hospital
- Yukon, OK
- NPI 1306865357
-
- Specialist
- National City, CA
- NPI 1588651426
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yukon, OK
- NPI 1306865357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1619330677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 HEALTH CENTER PKWY STE 240A",
"city": "YUKON",
"state": "OK",
"postal_code": "730996396",
"telephone_number": "405-717-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 HEALTH CENTER PKWY STE 240A",
"city": "YUKON",
"state": "OK",
"postal_code": "730996396",
"telephone_number": "405-717-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCH",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A168350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "45005",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://integrishealth.org/doctors/courtney-ketch",
"affiliation": "N",
"address_1": "1205 Health Center Pkwy Ste 240A",
"city": "Yukon",
"state": "OK",
"country_code": "US",
"postal_code": "730996396",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.