Fifth Avenue Medical Group LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

FIFTH AVENUE MEDICAL GROUP LLC

Practice address

835 5TH Ave
Chambersburg, PA 17201-4224

Phone

(717) 217-4312

Fax

(717) 217-4314

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Melanie Moats

Title

Center Director

Phone

(717) 217-4312

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad F Khokhar, MD

  • Gastroenterology Physician
  • Alexandria, VA
  • NPI 1033145586
  NPD
• Wayne C. Hoover, M.D.

  • Gastroenterology Physician
  • Chambersburg, PA
  • NPI 1790716116
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1124064019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-217-4312",
            "fax_number": "717-217-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-217-4312",
            "fax_number": "717-217-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "MOATS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "717-217-4312"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Wright Fegan, PA
• Kirsten Louise Fernandez, MS, NCC, JSOCC, LPC
• Arika A Ficarro, L.S.W.
• Francine R. Fields, M.D.
• Fifth Avenue Chiropractic, Inc
• Betsie Figueroa-Cruz, MD
• Colin Filbrun, MD
• Michelle Ann Finafrock, R.PH
• Jennifer Rebecca Fink, RN
• Autumn Taylor Finke

• Certified Registered Nurse Anesthetist in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.