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 is a Certified Registered Nurse Anesthetist 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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