DRS. KETCHAM AND DISMUKES – NPI #1720102387
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DRS. KETCHAM AND DISMUKES is a provider located in DEMOPOLIS, AL. NPPES has assigned the NPI number 1720102387 to DRS. KETCHAM AND DISMUKES on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Dec 10, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DRS. KETCHAM AND DISMUKES below.

NPI Profile for
DRS. KETCHAM AND DISMUKES

NPI Number
1720102387
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DRS. KETCHAM AND DISMUKES
Primary location
202 HWY 80 E
DEMOPOLIS, AL 36732
Phone: (334) 289-0499 Fax: (334) 289-3013
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA MAYTON
BILLING MANAGER
Phone: (334) 289-0499
Updated
Identifiers

Identifiers for DRS. KETCHAM AND DISMUKES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDAL051088680
OTHERBLUE CROSS BLUE SHIELDAL051088681
OTHERUNITED HEALTH CAREAL0110247
OTHERUNITED HEALTHCAREAL0110356
MEDICAIDAL000088680
MEDICAIDAL000088681
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
AL 2802
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.