Mesa Ear Nose and Throat PC
NPI 1770640930ActiveOrganization· Otolaryngology· Gilbert, AZ
Otolaryngology in Gilbert, Arizona, registered in NPPES in January 2007. The authorized official on file is Thomas James Ketterer, M.D., President.
Overview
| NPI | 1770640930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | MD18540 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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