Active NPI
Yervant Khatcherian MD PA
- Clinic/Center
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME75296
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yervant Khatcherian, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0998052 | Yervant Khatcherian MD PA | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1104823350
-
- Adult Health Nurse Practitioner
- Clearwater, FL
- NPI 1518441278
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1780191551
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.