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

Mr. William Stewart Ketcham, MD

Individual provider Dermatology Physician · NPI 1093866006

Mr. William Stewart Ketcham, MD is a Micrographic Dermatologic Surgery (Mds) in Garner, North Carolina. Graduated from West Virginia University School of Medicine in 1984, 42 years ago. Practices with Southern Dermatology PA, a 51-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
42
Trained at
West Virginia University School of Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 Health Park Dr Ste 150
Garner, NC 27529-7051
Phone: (919) 772-3487
Fax: (919) 772-3446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 29605 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 29605 (NC)
Specialist Taxonomy 174400000X · Licence 29605 (NC)

Record details

NPI number1093866006
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Southern Dermatology Pa — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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