George T Keshelava (NPI# 1255541975, PAC ID# 6507957222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
Nation Provider ID (NPI) | 1255541975 |
PAC ID by PECOS | 6507957222 |
Professional Enrollment ID | I20070810000015 |
Full Name | George T Keshelava |
Organization Legal Name | GEORGE KESHELAVA, MD LLC |
Address |
1970 N Hw Suite 190 Covington LA 70433-5158 |
Phone Number | 9858678585 |
Gender | M |
Graduation Year | 1994 |
Primary Specialty | INFECTIOUS DISEASE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 0143442822 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190176 | TULANE MEDICAL CENTER |
190015 | NORTH OAKS MEDICAL CENTER, L L C |
190045 | ST TAMMANY PARISH HOSPITAL |
190040 | SLIDELL MEMORIAL HOSPITAL |
191313 | RIVERSIDE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1970 N Hw, Suite 190, Covington, LA 70433-5158 | 9858678585 | GEORGE KESHELAVA, MD LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_047_overall | Care Plan | 100% |
Organization Legal Name | GEORGE KESHELAVA, MD LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna Jill Branton | Nurse Practitioner | George Keshelava, Md LLC | 1970 N Hw, Suite 190, Covington, LA 70433-5158 |
Street Address |
1970 N HW SUITE 190 |
City | COVINGTON |
State | LA |
Zip | 70433-5158 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna Jill Branton | Nurse Practitioner | George Keshelava, Md LLC | 1970 N Hw, Suite 190, Covington, LA 70433-5158 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
Find all physicians in zip 70433 |
City | COVINGTON |
Zip Code | 70433 |
Specialty | INFECTIOUS DISEASE |
City + Specialty | COVINGTON + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on George T Keshelava.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.