Individual provider Active NPI

Courtney Lynn Ketch, M.D.

  • Obstetrics Physician
  • Yukon, OK
National Provider Identifier
1619330677
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A168350 Issued in CA
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

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
45005OtherOKLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://integrishealth.org/doctors/courtney-ketch

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230425000268 CA Practitioner - Obstetrics/Gynecology 2264704584
I20251003004101 OK Practitioner - Obstetrics/Gynecology 2264704584 Reassigns benefits to 1 organization

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
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

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 Hospital, Yukon, OK, CCN 370211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A168350CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Aug 31, 2025 Accepting new patients
South Bay OB/GYN Medical Group, Inc. PastSince May 29, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.