George Keshelava, MD LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD201497 Issued in LA

Legal business name

GEORGE KESHELAVA, MD LLC

Practice address

1970 N Highway 190
Covington, LA 70433-5158

Phone

(985) 867-8585

Fax

(985) 867-3644

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. George Keshelava, MDNPI 1255541975

Title

MD

Phone

(985) 867-8585

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 19

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.

• George T Keshelava, M.D.

  • Infectious Disease Physician
  • Covington, LA
  • NPI 1255541975
  Medicare reassignment Care Compare group NPD Authorized official
• Candice H Wild, FNP

  • Family Nurse Practitioner
  • Covington, LA
  • NPI 1730731043
  Medicare reassignment Care Compare group NPD
• Donna Jill Branton, NP

  • Acute Care Nurse Practitioner
  • Covington, LA
  • NPI 1700065570
  Medicare reassignment NPD
• Ruby Sheree Miller, DNP, FNP-BC

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1710024179
  Medicare reassignment NPD
• Frank J Arena, M.D.

  • Interventional Cardiology Physician
  • Covington, LA
  • NPI 1689671232
  NPD (past)
• Marc Bernstein, M.D.

  • Cardiovascular Disease Physician
  • Slidell, LA
  • NPI 1851333587
  NPD (past)
• David Mark Bossenmeyer, NP FAMILY NURSE PRAC

  • Family Nurse Practitioner
  • Covington, LA
  • NPI 1699797951
  NPD (past)
• Robin Beth Fischer, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1083046759
  NPD (past)
• Matthew G. Gabler, P.A.

  • Physician Assistant
  • Slidell, LA
  • NPI 1700075389
  NPD (past)
• Bruce J Iteld, MD,FACC,FCCP,FSCAI

  • Specialist
  • Slidell, LA
  • NPI 1588600894
  NPD (past)
• James E Mace, MD

  • Cardiovascular Disease Physician
  • Covington, LA
  • NPI 1326098062
  NPD (past)
• Richard K Mautner, M.D.

  • Specialist
  • New Orleans, LA
  • NPI 1144228768
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1932528486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1870",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704341870",
            "telephone_number": "985-867-8585",
            "fax_number": "985-867-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335158",
            "telephone_number": "985-867-8585",
            "fax_number": "985-867-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KESHELAVA, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "KESHELAVA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "985-867-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "MD201497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DV1138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geauxprodme
• Alexis Robin Gennusa
• Aiden Genovese
• Lawrence Larry Gensler, M.D.
• Dolores Joan Geoffray, M.D.
• Andrew Timothy George, DO
• Georgia Neurophysiological Monitoring Services, PC
• Michael Gerhold, RT
• Gia Hair Systems LLC
• Carolyn Giacona

• Infectious Disease Physician in Covington, LA
• Providers in Covington, LA by specialty
• Infectious Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.