Tibor Ketzan, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD021936E Issued in PA

Practice address

720 Blackburn Road
Sewickley Valley Hospital
Sewickley, PA 15143

Phone

(412) 749-7127

Fax

(412) 749-4268

NPI assigned

Jul 30, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Tibor Ketzan, M.D., P.C.

  • Physical Medicine & Rehabilitation Physician
  • Sewickley, PA
  • NPI 1902925282
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962417626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN ROAD",
            "address_2": "SEWICKLEY VALLEY HOSPITAL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-749-7127",
            "fax_number": "412-749-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN ROAD",
            "address_2": "SEWICKLEY VALLEY HOSPITAL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-749-7127",
            "fax_number": "412-749-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETZAN",
        "first_name": "TIBOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD021936E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine C Ke, MD
• Carson Kegel, AU.D.
• Brian James Kelly, M.D.
• Darby Victoria Kern, DC
• John R. Kerr, O.D.
• Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
• Robert E King, DMD
• Janene Hecker Klein, M.D.
• Stephanie Anne Klobuchir, CRNP
• Thomas Louis Kneier, LPC

• Physical Medicine & Rehabilitation Physician in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.