DRS. Ketcham and Dismukes

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2802 Issued in AL

Legal business name

DRS. KETCHAM AND DISMUKES

Practice address

202 Hwy 80 E
Demopolis, AL 36732

Phone

(334) 289-0499

Fax

(334) 289-3013

NPI assigned

Mar 19, 2007

Last updated

Dec 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Smith Mayton

Title

Billing Manager

Phone

(334) 289-0499

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Alan Dismukes, MD

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1295749059
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1720102387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HWY 80 E",
            "address_2": "P.O. BOX 650",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "36732",
            "telephone_number": "334-289-0499",
            "fax_number": "334-289-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HWY 80 E",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "36732",
            "telephone_number": "334-289-0499",
            "fax_number": "334-289-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. KETCHAM AND DISMUKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "MAYTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "334-289-0499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "2802",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demopolis Pediatrics
• Keith Alan Dismukes, MD
• Dr Keith Dismukes L.L.C.
• Dr. Nakieta M. Lankster LLC
• James Daniel Dreading, D.M.D.
• Dva Healthcare Renal Care Inc (Demopolis Dialysis)
• Dana Eddins, MS, CCC-SLP
• Sharon Edmondson, PHARMD
• Kelly A Epting, PT
• Fernando Alegria, MD, LLC

• Family Medicine Physician in Demopolis, AL
• Providers in Demopolis, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.