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DR. WILLIAM TYLER KETCHABAW MD, PHD
NPI 1669266805
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since April 04, 2025
3800 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 741-1250 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Tyler Ketchabaw Md, Phd NPPES

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

DR. WILLIAM TYLER KETCHABAW MD, PHD (NPI 1669266805) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1669266805
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILLIAM TYLER KETCHABAWCredential: MD, PHD
Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113
Phone(202) 741-1250
Sole ProprietorNo
Enumeration DateApril 4, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1669266805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3800 RESERVOIR RD NW, Washington, DC 20007
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Other Names 1

Professional Name (2)Dr. W. Tyler Ketchabaw Md, Phd

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.

DR. KAUSTUBH SUBHASH YADWADKAR M.D.
Radiology (Diagnostic Radiology)
3800 RESERVOIR RD NW, CG201
WASHINGTON, DC 20007
District of Columbia (304) 206-7595
FRED MO MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-8766
SEBLE YIRGA
Nurse Practitioner (Family)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7265
ARLETTE THOMPSON-PILE
Physical Therapy Assistant
3800 RESERVOIR RD NW, PHYSICAL MEDICINE AND REHBAILITATION DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-3689
JENNA ELIZABETH HOROWITZ
Physician Assistant (Surgical)
3800 RESERVOIR RD NW, NEUROSURGERY DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
HALEY SWANSON FOSTER M.D.
Radiology (Vascular & Interventional Radiology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-5022
SOPHIA RIZVI MD
Radiology (Radiation Oncology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
CLAIRE DALBY MD
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7106

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 William Ketchabaw's NPI number?

The NPI number for William Ketchabaw is 1669266805. It was assigned to this individual provider in the NPPES registry on April 4, 2025. The provider is also known as Dr. W. Tyler Ketchabaw MD, Phd.

Where is William Ketchabaw located?

William Ketchabaw practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 741-1250.

What is William Ketchabaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for William Ketchabaw was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.