INGRID J RACHESKY (NPI# 1154415610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154415610 |
| Entity Type | Individual |
| Full Name | INGRID J RACHESKY |
| Credential | M.D. |
| Practice Address |
2550 Jenks Ave Panama City FL 32405 |
| Practice Telephone | 8507691481 |
| Practice Fax Number | 8507632435 |
| Mailing Telephone | 8507691481 |
| Mailing Fax Number | 8507632435 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ME0044063 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FLORIDA | 03618 | 01 |
| Street Address |
2550 JENKS AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942690862 | Ingrid J Rachesky M.d. | Pediatrics | 2550 Jenks Ave, Panama City, FL 32405-4310 | 2015-01-30 |
| 1316258502 | Tiffany Diane Forrester | Pediatrics | 2550 Jenks Ave, Panama City, FL 32405-4310 | 2010-06-23 |
| 1891909123 | Catherine L Glidden | Nurse Practitioner | 2550 Jenks Ave, Panama City, FL 32405-4310 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134569049 | Rainbow Pediatrics PC LLC | Pediatrics | 2905 Highway 77, Panama City, FL 32405-5013 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
| 1710330923 | Juan Ruiz-unger Md Pa | Pediatrics | 8900 Sw 24th St Ste 204, Miami, FL 33165-2075 | 2016-07-22 |
| 1922479625 | Bee Well Kidz Inc | Pediatrics | 13802 Landstar Blvd Ste 109, Orlando, FL 32824-5500 | 2015-10-08 |
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1679965487 | Howard I Finer Md Faap | Pediatrics | 2135 W State Road 434, Longwood, FL 32779-4983 | 2015-03-03 |
| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
| 1720494024 | Focus-fl 1012 Pllc | Pediatrics | 1501 S Dale Mabry Hwy Ste A6, Tampa, FL 33629-5837 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.