DR. JOHN KETRON M.D.
NPI 1558334987
Pediatrics in Charlotte, NC

Q: What is John Ketron's NPI number?

The NPI number for John Ketron is 1558334987. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is John Ketron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for John Ketron was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2006

11840 SOUTHMORE DR, SUITE 200, CHARLOTTE, NC 28277(704) 384-1166(704) 384-1181 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. John Ketron M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN KETRON M.D. (NPI 1558334987) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (29932) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1558334987

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JOHN KETRONCredential: M.D.

Location Address11840 SOUTHMORE DR, SUITE 200Charlotte, NC 28277-4466

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1166 · Fax (704) 384-1181

Phone(704) 384-1166

Fax(704) 384-1181

Sole ProprietorNo

Enumeration DateFebruary 8, 2006

Last NPPES UpdateNovember 19, 2015

✔ NPI 1558334987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 29932

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11840 SOUTHMORE DR, Charlotte, NC 28277

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Other Identifiers 2

Medicare UPINF17440

Medicaid8948792NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA MEDICORP ENTERPRISES, INC

Emergency Medicine

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4440

NOVANT MEDICAL GROUP, INC.

Pediatrics (Pediatric Gastroenterology)

11840 SOUTHMORE DR, SUITE 200
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-5060

DR. MOLLY ELIZABETH GRIMM DPT

Physical Therapist (Orthopedic)

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4443

DR. GREGORY BIELEC M.D.

Physical Therapist

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4443

DR. ERIN ELIZABETH BALL PT, DPT

Physical Therapist

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4443

MR. ERIC R FORD PT

Physical Therapist

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4443

MS. KRISTIN MICHELLE HIETBRINK PT

Physical Therapist

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4443

MR. MATTHEW WILLIAM GRIMM P.T.

Physical Therapist

11840 SOUTHMORE DR, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-4443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ketron's NPI number?

The NPI number for John Ketron is 1558334987. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is John Ketron located?

John Ketron practices at 11840 Southmore Dr Suite 200, Charlotte, NC 28277. The listed phone number is (704) 384-1166.

What is John Ketron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for John Ketron was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.