APOLLO MEDFLIGHT, LLC (NPI# 1164052023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164052023 |
| Entity Type | Organization |
| Organization Name | APOLLO MEDFLIGHT, LLC |
| Practice Address |
4201 W Medical Center Dr Mchenry IL 60050-8409 |
| Mailing Address |
5600 Bell St Ste 105-144 Amarillo TX 79109-6288 |
| Practice Telephone | 8448387994 |
| Mailing Telephone | 8063224448 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MARC BENNETT (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 8062424052 |
| Is Organization Subpart | Y |
| Parent Organization Name | APOLLO MEDFLIGHT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Apollo Medflight - Flight for Life | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102547 | Apollo Medflight, LLC | Ambulance | 6011 Avenue P, Kearney, NE 68847-1510 | 2019-12-23 |
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1770888422 | Apollo Medflight, LLC | Ambulance | 4105 Tradewind St, Hangar 4, Amarillo, TX 79118-7706 | 2011-01-11 |
| 1598261224 | Apollo Medflight, LLC | Ambulance | 5305 Wrightsville Ave, Wilmington, NC 28403-6530 | 2018-04-02 |
| Street Address |
4201 W MEDICAL CENTER DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973458 | John A. Sharum | Physician Assistant | 4201 W Medical Center Dr, Emergency Department, Mchenry, IL 60050-8409 | 2005-09-27 |
| 1245869502 | Haile E Fitzgerald | Nurse Anesthetist, Certified Registered | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-07 |
| 1013546639 | Thiago Gagliano Juca Domingues De Oliveira | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-06 |
| 1619506508 | Shirly Susan Samuel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-03 |
| 1831728856 | Grace Ying | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1356970347 | Om Parkash | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1770142622 | Annie Maria Skariah | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-12 |
| 1730747809 | Aatma Ram | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-03 |
| 1245898923 | Harvey Patel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-05-29 |
| 1669037131 | Nicole M Greenhill | Emergency Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553896 | Lifenet, Inc. | Ambulance | 4309 Centegra Dr, Mchenry, IL 60050-1200 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1114490455 | Air Evac Ems, Inc. | Ambulance | 2181 Vadalabene Dr, Maryville, IL 62062-5633 | 2019-01-09 |
| 1104338425 | Air Evac Ems, Inc. | Ambulance | 3666 N Il 130, Olney, IL 62450-4741 | 2017-10-26 |
| 1124555693 | Air Evac Ems, Inc. | Ambulance | 7894 N County Road 1050e, Mattoon, IL 61938-8523 | 2017-05-16 |
| 1417481912 | Air Evac Ems, Inc. | Ambulance | 529 E Grant St, Macomb, IL 61455-3313 | 2017-04-12 |
| 1225585904 | Air Evac Ems, Inc. | Ambulance | 635 Il Route 127, Greenville, IL 62246-3541 | 2016-09-09 |
| 1770036436 | Air Evac Ems, Inc. | Ambulance | 177 Vince Ashley Dr, Harrisburg, IL 62946-2400 | 2016-07-29 |
| 1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
| 1326325499 | Lifenet, Inc | Ambulance | 3300 Vector Dr, Cahokia, IL 62206-1457 | 2011-11-03 |
| 1437439692 | Lifenet, Inc | Ambulance | 23810 County Farm Rd, Joliet, IL 60431-9255 | 2011-08-19 |
| Find all providers with the same taxonomy | ||||
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| 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.