Organization Active NPI

Yervant Khatcherian MD PA

  • Clinic/Center
  • Clearwater, FL
National Provider Identifier
1023332905
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME75296 Issued in FL
Legal business name
YERVANT KHATCHERIAN MD PA
Practice address
29605 US Highway 19 N
Suite 170
Clearwater, FL 33761-1537
Phone
(727) 771-8444
Fax
(727) 771-8604
NPI assigned
Mar 20, 2010
Last updated
Jan 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yervant Khatcherian, MDNPI 1104823350
Title
President
Phone
(727) 771-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME75296 FL Primary

Addresses

Primary practice location

29605 US Highway 19 N
Suite 170
Clearwater, FL 33761-1537

Mailing address

3104 Masters Dr
Clearwater, FL 33761-1816

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0998052Yervant Khatcherian MD PA29605 US 19 N #170, Clearwater, FL 33761Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

Locations

29605 US Highway 19 N
Clearwater, FL 33761
Phone (727) 771-8444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1023332905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 MASTERS DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N",
            "address_2": "SUITE 170",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611537",
            "telephone_number": "727-771-8444",
            "fax_number": "727-771-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERVANT KHATCHERIAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-20",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "KHATCHERIAN",
        "authorized_official_first_name": "YERVANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-771-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME75296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.