Ketner Orthopedics PLLC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

Legal business name

KETNER ORTHOPEDICS PLLC

Practice address

4000 Highland Rd Ste 101
Waterford, MI 48328-2163

Phone

(248) 270-5622

Fax

(248) 856-2474

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Andrew John Ketner, DONPI 1043574874

Title

Owner

Phone

(248) 270-5622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew John Ketner, D.O.

  • Orthopaedic Surgery Physician
  • Waterford, MI
  • NPI 1043574874
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Matthew Hubert, PAC

  • Surgical Physician Assistant
  • Waterford, MI
  • NPI 1124065131
  Medicare reassignment Care Compare group NPD
• Dana M Busch, DO

  • Surgery Physician
  • Waterford, MI
  • NPI 1689762577
  NPD
• John Marshall Ketner, D.O.

  • Surgery Physician
  • Waterford, MI
  • NPI 1801834130
  NPD (past)

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1790670958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD STE 101",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282163",
            "telephone_number": "248-270-5622",
            "fax_number": "248-856-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD STE 101",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282163",
            "telephone_number": "248-270-5622",
            "fax_number": "248-856-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETNER ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "KETNER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-270-5622",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kendall
• Sarah Kendrick, MA, LPC, CAADC
• Stephanie Joy Kendricks, LPN
• Zvi Kennet, DMD, MSC
• Richard Leeland Kerre, D.D.S.
• Andrew John Ketner, D.O.
• John Marshall Ketner, D.O.
• Keystone Home Care
• Reda A Khalifa, M.D.
• Devyani S Khambete, M.D.

• Adult Reconstructive Orthopaedic Surgery Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.