Dr. Donn Ketcham , MD
General Practice • Allendale, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Donn Ketcham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Donn Ketcham, MD was a registered General Practice practicing in Allendale, MI. Throughout an active medical career spanning 18 years, Dr. Ketcham provided care at the practice location at 11315 EDGEWATER DR until profile deactivation on 2023-10-13.
Practice Location & Contact Primary Location
11315 Edgewater Dr
Allendale, MI 494019396
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Allendale, MI
Practicing in Allendale, MI (445 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 13, 2023
NPI status registered as active in NPPES database
Registered at 11315 EDGEWATER DR, ALLENDALE, MI 494019396 (Tel: 6168952000)
Registered at 11315 EDGEWATER DR, ALLENDALE, MI 494019396 (Tel: 6168952000)
Recorded as DONN KETCHAM, M.D.
General Practice (License #4301023446 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11315 Edgewater Dr
Allendale, MI 494019396
Phone: 6168952000
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