FIFTH AVENUE MEDICAL GROUP LLC
NPI 1124064019
Nurse Anesthetist, Certified Registered in Chambersburg, PA

Q: What is Fifth Avenue Medical Group LLC's NPI number?

The NPI number for Fifth Avenue Medical Group LLC is 1124064019. It was assigned to this organization in the NPPES registry on June 21, 2006.

Q: What is Fifth Avenue Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since June 21, 2006

835 5TH AVE, CHAMBERSBURG, PA 17201(717) 217-4312(717) 217-4314 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Fifth Avenue Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIFTH AVENUE MEDICAL GROUP LLC (NPI 1124064019) is a healthcare organization registered as a nurse anesthetist, certified registered in Chambersburg, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melanie Moats, Center Director, as its authorized official.

NPPES Registry Identity

NPI1124064019

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameFIFTH AVENUE MEDICAL GROUP LLC

Location Address835 5TH AVEChambersburg, PA 17201-4224

Mailing Address835 5th AveChambersburg, PA 17201-4224 · (717) 217-4312 · Fax (717) 217-4314

Phone(717) 217-4312

Fax(717) 217-4314

Organization SubpartNo

Authorized OfficialMelanie MoatsCenter Director · (717) 217-4312

Enumeration DateJune 21, 2006

Last NPPES UpdateNovember 8, 2019

✔ NPI 1124064019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

835 5TH AVE, Chambersburg, PA 17201

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN R GAFFNEY DO

Internal Medicine (Gastroenterology)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

CHAMBERSBURG GASTROENTEROLOGY ASSO., LTD

Internal Medicine (Gastroenterology)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

JADE ALEXANDRA ETTER PA-C

Physician Assistant (Medical)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

WELLSPAN CHAMBERSBURG ENDOSCOPY CENTER LLC

Clinic/Center (Endoscopy)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

CARRIE A HAGGERTY CRNA

Nurse Anesthetist, Certified Registered

835 5TH AVE, WELLSPAN ANESTHESIOLOGY
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

NATHAN YEASTED M.D.

Internal Medicine (Gastroenterology)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

MS. ASHLEY M KNAPP CRNA

Nurse Anesthetist, Certified Registered

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

REBECCA CARPENTER CRNP

Nurse Practitioner (Primary Care)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fifth Avenue Medical Group LLC's NPI number?

The NPI number for Fifth Avenue Medical Group LLC is 1124064019. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Fifth Avenue Medical Group LLC located?

Fifth Avenue Medical Group LLC is located at 835 5th Ave, Chambersburg, PA 17201. The listed phone number is (717) 217-4312.

What is Fifth Avenue Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Fifth Avenue Medical Group LLC was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.