MEDICARE: THOMAS J KETTERER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD18540	AZ

General Provider Information

NPI Number	:	1174501852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS J KETTERER M.D.

Provider Business Mailing Address
First Line	:	560 W BROWN RD
Second Line	:	#1008
City	:	MESA
State	:	AZ
Zip	:	85201-3221
Country	:	US
Telephone Number	:	480-833-8620
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 W BROWN RD
Second Line	:	#1008
City	:	MESA
State	:	AZ
Zip	:	85201-3221
Country	:	US
Telephone Number	:	480-833-8620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225980774 — ANOINTED HANDS HOME HEALTH AND TRAINING CENTER LLC
Practice Location Address:

560 W BROWN RD , 3001-366
MESA, AZ
85201-3221

Practice Phone: 317-496-7696
Practice Fax:

1326998758 — CRANDALL HOME CARE OF ARIZONA LLC
Practice Location Address:

560 W BROWN RD STE 3A1
MESA, AZ
85201-3221

Practice Phone: 505-266-6683
Practice Fax:

1063465318 — MITCHELL KIRK BOGLE P.A.
Practice Location Address:

560 W BROWN RD , SUITE 4001
MESA, AZ
85201-3221

Practice Phone: 480-962-4269
Practice Fax: 480-962-3702

1902850597 — WEST DERMATOLOGY OF ARIZONA, INC
Practice Location Address:

560 W BROWN RD , SUITE 4001
MESA, AZ
85201-3221

Practice Phone: 480-962-4269
Practice Fax: 480-962-3702

1528086691 — ANNE MARIE CARDINAL CISW
Practice Location Address:

560 W BROWN RD , #4007
MESA, AZ
85201-3221

Practice Phone: 602-470-5520
Practice Fax: 480-649-0783

1356419410 — ZHANNA F SHPITALNIK MD
Practice Location Address:

560 W BROWN RD , #4007
MESA, AZ
85201-3221

Practice Phone: 602-470-5520
Practice Fax: 480-649-0783

Directions to “ THOMAS J KETTERER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.