KHATUNA GURGENASHVILI (NPI# 1235392937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235392937 |
| Entity Type | Individual |
| Full Name | KHATUNA GURGENASHVILI |
| Credential | MD |
| Practice Address |
22 St Paul Dr Chambersburg PA 17201-1036 |
| Mailing Address |
17 Western Maryland Pkwy Ste 100 Hagerstown MD 21740-5471 |
| Practice Telephone | 7175313828 |
| Practice Fax Number | 7175314694 |
| Mailing Telephone | 8002431455 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D0070249 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD439112 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103326162 | 05 | |
| PA | BCBS FREEDOM BLUE PPO | 2544895 | 01 |
| PA | MEDICARE RR PA | P00945563 | 01 |
| MD | BCBS REGIONAL CAREFIRST W266 | W2660029 | 01 |
| MD | HIGHMARK BCBS MARYLAND POS | 2544895 | 01 |
| MD | MEDICARE RR MD | P00945562 | 01 |
| PA | HIGHMARK BCBS PENNSYLVANIA POS | 2544895 | 01 |
| MD | BCBS LOCAL CAREFIRST KG85 | 972589 | 01 |
| MD | 445117100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 N 7th St, Chambersburg, PA 172011720 | 7172174300 | 7172174217 |
| 501 E Main St, Waynesboro, PA 172682353 | 7177654000 | 7177653669 |
| 12 St Paul Dr, Chambersburg, PA 172011035 | 7172673000 | |
| 120 N 7th St, Chambersburg, PA 172011795 | 7172673000 |
| Street Address |
22 ST PAUL DR |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902496 | Kerin Bielecki | Pharmacist | 1730 Lincoln Way West, Chambersburg, PA 17201 | 2020-11-02 |
| 1750995833 | Emily Suzanne Benfer | Occupational Therapist | 32 Parkwood Drive, Chambersburg, PA 17201 | 2020-09-04 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1679033963 | Hospice of Washington County, Inc. | Hospice Care, Community Based | 209 Grant Street, Chambersburg, PA 17201 | 2019-03-22 |
| 1659837540 | Dialysis Care Center Chambersburg LLC | Clinic/Center | 20 Parkwood Drive, Suite 1, Chambersburg, PA 17201 | 2019-02-15 |
| 1518423623 | Wolter Advanced Dental Care | Durable Medical Equipment & Medical Supplies | 20 Parkwood Dr., Ste 3, Chambersburg, PA 17201 | 2019-02-13 |
| 1972059202 | Lindsey Rae Hyatt | Physician Assistant | 761 Park Fifth Avenue, Chambersburg, PA 17201 | 2016-08-28 |
| 1093176943 | Marcia Rebert | Counselor | 1212 Progress Road, Chambersburg, PA 17201 | 2016-03-18 |
| 1669833471 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 968 Norland Avenue, Chambersburg, PA 17201 | 2016-03-08 |
| 1104283324 | Meagen Louise Stouffer | Acupuncturist | 394 Floral Ave, Chambersburg, PA 17201 | 2016-01-19 |
| Find all providers in zip 17201 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689016198 | Sana Siddiqi | Psychiatry & Neurology | 22 St Paul Dr Ste 101, Chambersburg, PA 17201-1036 | 2013-07-25 |
| 1497869986 | Jeff R Donat | Psychiatry & Neurology | 419 Limekiln Dr, Chambersburg, PA 17201-4510 | 2006-08-19 |
| 1801900691 | Stanton Edward Sollenberger | Psychiatry & Neurology | 764 Lincoln Way E, Chambersburg, PA 17201-2710 | 2006-08-18 |
| 1780974022 | William B Bossert | Psychiatry & Neurology | 755 Norland Ave, Ste 101, Chambersburg, PA 17201-4221 | 2011-04-07 |
| 1962594416 | Cumberland Valley Neurosurgical Consults | Psychiatry & Neurology | 764 Lincoln Way E, Chambersburg, PA 17201-2710 | 2006-09-29 |
| 1326069295 | Ruediger Kratz | Psychiatry & Neurology | 755 Norland Ave, Suite 101, Chambersburg, PA 17201-4221 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERSBURG |
| Zip Code | 17201 |
Please comment or provide details below to improve the information on KHATUNA GURGENASHVILI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.