Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael C Ketcham, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1912910191

Michael C Ketcham, DO is an Obstetrics/Gynecology in Jonesboro, Arkansas. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1997, 29 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment. Licensed in Arkansas, New York and Virginia.

Years since qualifying
29
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AR, NY, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4802 E Johnson Ave
Jonesboro, AR 72401
Phone: (870) 936-8000
Fax: (870) 934-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence E-10891 (AR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 0102202980 (VA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 222973 (NY)

Record details

NPI number1912910191
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESSeptember 7, 2018
Mailing addressPo Box 1960, Jonesboro, AR 72403-1960

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1997 (29 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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