Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fifth Avenue Medical Group LLC

Organization Certified Registered Nurse Anesthetist · NPI 1124064019

Fifth Avenue Medical Group LLC provides Certified Registered Nurse Anesthetist services in Chambersburg, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

835 5th Ave
Chambersburg, PA 17201-4224
Phone: (717) 217-4312
Fax: (717) 217-4314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1124064019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Moats — Center Director · (717) 217-4312
NPI enumeratedJune 21, 2006
Last updated in NPPESNovember 8, 2019
Mailing address835 5th Ave, Chambersburg, PA 17201-4224

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