INGA KHACHATUROVA (NPI# 1093944928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093944928 |
| Entity Type | Individual |
| Full Name | INGA KHACHATUROVA |
| Credential | M.D. |
| Practice Address |
1900 Don Wickham Dr Mp Sl Admin Clermont FL 34711-1979 |
| Practice Telephone | 3525368840 |
| Practice Fax Number | 3525368841 |
| Mailing Telephone | 3525368840 |
| Mailing Fax Number | 3525368841 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME119938 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME119938 | 01 |
| FL | 012092000 | 05 |
| Street Address |
1900 DON WICKHAM DR MP SL ADMIN |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107133 | Nulma B Carguill | Physician Assistant | 1900 Don Wickham Dr, Mp Sl Admin, Clermont, FL 34711-1979 | 2005-07-12 |
| 1780296269 | Megan Beck | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2020-08-17 |
| 1861034506 | Jo'el Bartley | Registered Nurse | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2019-10-15 |
| 1356998611 | Heather Lynnette Chandler | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2019-08-21 |
| 1942780481 | Aurora Queckboerner | Registered Nurse | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2018-08-15 |
| 1114420189 | Dawn M Taylor | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2018-03-15 |
| 1184134728 | Orange Anesthesia Associates, Inc. | Anesthesiology | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2017-10-10 |
| 1295244176 | Michelle Isaacs | Registered Nurse | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2017-09-24 |
| 1568990315 | Devadah La Jeune King | Nurse Practitioner | 1900 Don Wickham Dr, Clermont, FL 34711 | 2017-05-24 |
| 1659808285 | Ines Alejandra Serrano Vilca | Family Medicine | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2017-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740208404 | Ahmad Souheil Jalloul | Internal Medicine | 3121 Citrus Tower Blvd, Clermont, FL 34711-6881 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025429 | Raja C Singh Md Pllc | Internal Medicine | 5901 Colonial Dr Ste 102, Margate, FL 33063-5672 | 2020-05-19 |
| 1851920508 | Rolkin Petit Homme | Internal Medicine | 736 Dogwood Rd, West Palm Beach, FL 33409-6139 | 2020-04-05 |
| 1386274520 | Shawna Marie Garito | Internal Medicine | 9299 Coral Reef Dr Ste 203, Palmetto Bay, FL 33157-1776 | 2020-01-15 |
| 1710494000 | Jacksonville Lung Clinic Pllc | Internal Medicine | 2624 Atlantic Blvd Ste 6, Jacksonville, FL 32207-3633 | 2018-01-08 |
| 1699200295 | Intensivists United Inc. | Internal Medicine | 222 S Vernon Ave, Kissimmee, FL 34741-5667 | 2017-04-21 |
| 1164960969 | Mark Steven Cutler | Internal Medicine | 3350 Northeast 12th Avenue, Suite 23761, Fort Lauderdale, FL 33307-9997 | 2017-02-01 |
| 1871036236 | Treasure Coast Pulmonary Medicine, P.a. | Internal Medicine | 10380 Sw Village Center Dr, 319, Port St Lucie, FL 34987-1931 | 2016-12-02 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1942691209 | Viral Patel | Internal Medicine | 1121 N Central Avenue, Kissimmee, FL 34741 | 2015-02-09 |
| 1093132292 | Sigmund Joseph Paczkowski | Internal Medicine | 7000 Sw 62nd Ave Ste 201, South Miami, FL 33143-4716 | 2014-03-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.