DR. GIORGI SIRBILADZE (NPI# 1407037112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407037112 |
| Entity Type | Individual |
| Full Name | DR. GIORGI SIRBILADZE |
| Credential | MD |
| Practice Address |
185 Queen City Ave Manchester NH 03101-7121 |
| Mailing Address |
14 Bills Way Bedford NH 03110-4349 |
| Practice Telephone | 6036634800 |
| Mailing Telephone | 2038309892 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 1563394S116 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20109 | NH | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
63483 | WI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
47404 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1407037112 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9200 W Wisconsin Ave, Division of Neurology, Milwaukee, WI 532263522 | 4148055200 | 4142590469 |
| Street Address |
185 QUEEN CITY AVE |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-7121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700702 | Stephen M. Wiener | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2005-06-17 |
| 1174140966 | Patrick John Hammer | Physical Therapist | 185 Queen City Ave, Manchester, NH 03101-7121 | 2020-06-29 |
| 1144870601 | Leah Hixon | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2019-09-17 |
| 1821565813 | Kathryn Swegles | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2018-10-27 |
| 1679086839 | Shannon Kelly Ward | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-09 |
| 1679085302 | Marialaina Abbene Tomolonis | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-03 |
| 1225547268 | Susan Marie Dionne | Registered Nurse | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-09-21 |
| 1649713827 | Emily M Miller | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2016-11-21 |
| 1598211948 | Jamie M. Gumb | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2016-08-26 |
| 1447635263 | Laura Kathryn Radlinski | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2015-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| 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 |
|---|---|---|---|---|
| 1518014604 | Maria Dolores Salibay | Psychiatry & Neurology | 917 Mcarthur St, Manchester, TN 37355-2325 | 2007-01-04 |
| 1184692089 | Anees Ahmed | Psychiatry & Neurology | 357 E Center St, #2, Manchester, CT 06040-4472 | 2006-03-08 |
| 1841296951 | Joy Demarcaida | Psychiatry & Neurology | 394 W Center St, Manchester, CT 06040-4735 | 2005-06-23 |
| 1023437597 | Anas Hannoun | Psychiatry & Neurology | 87 Mcgregor St Ste 4100, Manchester, NH 03102-3766 | 2014-04-14 |
| 1649579806 | Jason B Fleming | Psychiatry & Neurology | 185 Queen City Ave, Elliot Neurology Associates, Manchester, NH 03101-7121 | 2011-03-26 |
| 1508170820 | Eric Hyman Grover | Psychiatry & Neurology | 87 Mcgregor St, Manchester, NH 03102-3765 | 2010-07-28 |
| 1932355864 | Erin T Hattan | Psychiatry & Neurology | 185 Queen City Ave, Manchester, NH 03101 | 2008-08-12 |
| 1063674760 | Elliot Professional Services | Psychiatry & Neurology | 185 Queen City Ave, Elliot Neurology Associates, Manchester, NH 03101-7100 | 2008-06-25 |
| 1588864433 | Jena R. Khera | Psychiatry & Neurology | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2007-07-19 |
| 1497951222 | Roya Vakili | Psychiatry & Neurology | 87 Mcgregor Street, Manchester, NH 03102 | 2007-06-27 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on DR. GIORGI SIRBILADZE.
| 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.