Jon Mark Ketcham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006808L Issued in PA

Practice address

765 Park Ave
Meadville, PA 16335-2546

Phone

(814) 337-0128

Fax

(814) 337-0164

NPI assigned

Jan 4, 2006

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Always Believe in Your Dreams, LLC

  dba Ketcham Chiropractic

  • Chiropractor
  • Meadville, PA
  • NPI 1013212844
  NPD (past) Authorized official
• Ketcham Chiropractic PLLC

  • Chiropractor
  • Meadville, PA
  • NPI 1760730261
  Authorized official Same address or phone
• Iadeluca Chiropractic Center Corry PC

  • Chiropractor
  • Corry, PA
  • NPI 1275115552
  NPD (past)
• Jack K. Vandervort

  dba Family Chiropractic Center

  • Chiropractor
  • Meadville, PA
  • NPI 1285696773
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1902884661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352546",
            "telephone_number": "814-337-0128",
            "fax_number": "814-337-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352546",
            "telephone_number": "814-337-0128",
            "fax_number": "814-337-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "JON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006808L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "205078",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001616400 0006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE SREVICES",
            "identifier": "163160",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "KE596806",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Kellogg, DMD
• Rhiannon J Kenniston
• Beverly Lou Kerr, LPC
• Carrie Nicole Kerr, PHARMD
• Ketcham Chiropractic PLLC
• Cassandra Lynn Ketler, PA-C
• Taylor Keverline, CRNP
• Keystone Rehabilitation Systems Inc.
• Talal Haider Khan, M.D.
• Cynthia Kay Kightlinger, MS,MA,CAC

• Chiropractor in Meadville, PA
• Providers in Meadville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.