Marjorie Ketzak, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: July 28, 2005

Quick Facts

NPI Number
1780684159
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(607) 843-3140
StateNY

NPI Validation Status: Verified

Valid 10-digit NPI number (1780684159)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 28, 2005)
Data source: CMS NPPES

Provider Overview

MARJORIE KETZAK, DO is a Family Medicine provider based in Oxford, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1780684159
Provider TypeIndividual Provider
GenderFemale
CredentialDO
StatusActive
Enumeration DateJuly 28, 2005

Practice Location

CityOxford
StateNY
ZIP Code13830-4305
Phone(607) 843-3140

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateNY

Mailing Address

CityOxford
StateNY
ZIP Code13830-4305
Phone(607) 843-3140
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1780684159 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1780684159for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1780684159 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Marjorie Ketzak's NPI number?
Marjorie Ketzak's NPI number is 1780684159, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Marjorie Ketzak's NPI currently active?
Yes, Marjorie Ketzak's NPI status is Active as of the latest CMS NPPES database updates.
What does Marjorie Ketzak specialize in?
Marjorie Ketzak specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Marjorie Ketzak practice?
Marjorie Ketzak practices in Oxford, NY 13830-4305.
When was Marjorie Ketzak's NPI issued?
Marjorie Ketzak's NPI was issued on July 28, 2005.
What is Marjorie Ketzak's provider type?
Marjorie Ketzak is registered as an Individual Provider under CMS NPI Type 1.