MARIE KATHLEEN KETCHERSID MD
NPI 1457365124
Internal Medicine in South Boston, VA
NPI Status: Active since July 28, 2006
Contact Information
2232 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-6180
Fax: (434) 517-6179
- Individual
- Female
- Internal Medicine
- Medicare Quality Reporting
About MARIE KETCHERSID
This page provides the complete NPI Profile along with additional information for Marie Ketchersid, an internist established in South Boston, Virginia with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1457365124 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 0101054916 (VA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1457365124
- Provider Name
- MARIE KATHLEEN KETCHERSID MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2232 WILBORN AVE SOUTH BOSTON, VA 24592
- Location Phone
- (434) 517-6180
- Location Fax
- (434) 517-6179
- Mailing Address
- 2232 WILBORN AVE SOUTH BOSTON, VA 24592
- Mailing Phone
- (434) 517-6180
- Mailing Fax
- (434) 517-6179
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 01-03-2011
- Code Navigator
An internist like Marie Ketchersid is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101054916
- License State
- VA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G04732 | MEDICARE UPIN (02) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Foot Exam | 73% | 231 |
| The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year | ||
| Documentation of Current Medications in the Medical Record | 100% | 2205 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Pneumococcal Vaccination Status for Older Adults | 82% | 790 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | 1284 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 112 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Use of High-Risk Medications in the Elderly | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 790 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 3 | 6 | 5 | 1 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 6 | 6 | 10 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 6 + 6 + 1 + 0 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1457365124 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265458392 | EDWARD S PURVIS II MD PC Organization | Specialist | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 517-3910 |
| 1609881192 | TERRY L KETCHERSID Individual | Internal Medicine | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 517-3914 |
| 1205843489 | DAN A WILLIAMS JR. Individual | Emergency Medicine | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 517-3832 |
| 1295746931 | NEIL SCHACHT MD HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA PC Organization | Internal Medicine (Hematology & Oncology) | 2232 WILBORN AVE SUITE D SOUTH BOSTON, VA 24592 (434) 575-1212 |
| 1023233905 | BOYDTON COMMUNITY HEALTH FACILITY INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 572-4378 |
| 1831378900 | MELISSA P ARTHUR NP Individual | Nurse Practitioner | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 517-3539 |
| 1801030119 | HALIFAX INTERNAL MEDICINE, PLLC Organization | Legal Medicine | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 517-3879 |
| 1801175567 | DOMINION HEALTH MEDICAL ASSOCIATES Organization | Clinic/Center | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 517-3100 |
| 1316267750 | DR. GARETH MURCHISON TITUS M.D Individual | Specialist | 2232 WILBORN AVE SUITE A SOUTH BOSTON, VA 24592 (434) 572-8977 |
| 1881700169 | HALIFAX HEART CENTER PC Organization | Specialist | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 572-8977 |
| 1598928277 | DOMINION HEALTH MEDICAL ASSOC Organization | Legal Medicine | 2232 WILBORN AVE SUITE C SOUTH BOSTON, VA 24592 (434) 517-8893 |
| 1730455411 | DOMINION MEDICAL HEALTH ASSOC Organization | Internal Medicine (Hematology & Oncology) | 2232 WILBORN AVE SUITE D SOUTH BOSTON, VA 24592 (434) 517-3640 |
| 1427306315 | DOMINION HEALTH MEDICAL ASSOC Organization | Specialist | 2232 WILBORN AVE SUITE F SOUTH BOSTON, VA 24592 (434) 517-8095 |
| 1801900113 | HALIFAX ENDOCRINOLOGY AND OSTEOPOROSIS CENTER PC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2232 WILBORN AVE SUITE B SOUTH BOSTON, VA 24592 (434) 575-5844 |
| 1700881885 | MRS. TESSIE OTERO-TRUITT MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2232 WILBORN AVE STE B SOUTH BOSTON, VA 24592 (434) 575-5844 |
| 1962744508 | WHITNEY A MYERS FNP Individual | Nurse Practitioner (Family) | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (276) 340-2240 |
| 1407824527 | LOVETTA PUGH MD Individual | Surgery | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 572-8921 |
| 1710944707 | DR. HABIB FOUAD BASSIL MD Individual | Internal Medicine (Cardiovascular Disease) | 2232 WILBORN AVE SUITE A SOUTH BOSTON, VA 24592 (434) 572-8977 |
| 1598099376 | JANARDHAN SRINIVASAN MD Individual | Internal Medicine (Interventional Cardiology) | 2232 WILBORN AVE SOUTH BOSTON, VA 24592 (434) 572-8977 |
| 1619370087 | MR. ANTHONY WILKERSON NP Individual | Nurse Practitioner (Family) | 2232 WILBORN AVE SUITE A SOUTH BOSTON, VA 24592 (434) 517-3355 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457365124, enumerated in the NPI registry as an "individual" on July 28, 2006
The provider is located at 2232 Wilborn Ave South Boston, Va 24592 and the phone number is (434) 517-6180
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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