APOLLO MEDICAL GROUP LLC (NPI# 1396179461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396179461 |
| Entity Type | Organization |
| Organization Name | APOLLO MEDICAL GROUP LLC |
| Practice Address |
1276 N Plaza Dr Rockport IN 47635-9028 |
| Mailing Address |
Po Box 4606 Springfield IL 62708-4606 |
| Practice Telephone | 9413601566 |
| Practice Fax Number | 9413589818 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413589818 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | AYMAN ELFAR (MEMBER) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | IN | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207L00000X | Anesthesiology | IN | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | APOLLO MEDICAL GROUP LLC | 1427 N Market Blvd Ste 1, Sacramento, CA 95834-1940 |
| Street Address |
1276 N PLAZA DR |
| City | ROCKPORT |
| State | IN |
| Zip Code | 47635-9028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669748125 | Riverview Surgery Center LLC | Clinic/Center | 1276 N Plaza Dr, Rockport, IN 47635 | 2012-03-29 |
| 1477096923 | Joshi Healthcare of Kmc LLC | Nurse Anesthetist, Certified Registered | 1276 N Plaza Dr, Rockport, IN 47635-9028 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750754750 | Bryan J Koewler | Physical Therapist | 826 N Sr 161, Suite B, Rockport, IN 47635 | 2015-11-12 |
| 1336695576 | Procare Healthspot, LLC | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635 | 2016-08-28 |
| 1457680688 | Rockport Ohio Township Fire Department | Non-emergency Medical Transport (VAN) | 615 Sycamore St, Rockport, IN 47635-0133 | 2009-12-17 |
| 1285784058 | Houchens Express Pharmacy LLC | Pharmacy | 815 Sycamore St, Rockport, IN 47635-1123 | 2007-01-11 |
| 1891262994 | Lifespring, Inc | Clinic/Center | 818 Madison St, Rockport, IN 47635-1241 | 2018-10-26 |
| 1629091061 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 815 Washington St, Rockport, IN 47635-1252 | 2006-07-26 |
| 1942296009 | Lisa M Miller | Nurse Practitioner | 105 S 2nd St, Rockport, IN 47635-1318 | 2005-09-23 |
| 1679833313 | Carrie Margaret Arias | Family Medicine | 105 S 2nd St, Rockport, IN 47635-1318 | 2012-05-28 |
| 1992976914 | Chrstina M. Beeler | Social Worker | 107 N 2nd St, Rockport, IN 47635-1401 | 2008-03-18 |
| 1699716316 | Mary E. Posner | Psychologist | 203 Elm St, Rockport, IN 47635-1409 | 2006-06-10 |
| Find all providers in zip 47635 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477659365 | Robert Francis Cerza | Anesthesiology | 319 Champions Dr, Rockport, TX 78382-6907 | 2006-09-16 |
| 1841610714 | Jennifer Mytar-li | Anesthesiology | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2014-04-18 |
| 1770503476 | Paul F. Barresi | Anesthesiology | 6 Glen Cove Dr, Rockport, ME 04856 | 2006-07-19 |
| 1093756777 | Michael K Gowesky | Anesthesiology | 6 Glen Cove Drive, Rockport, ME 04856-4240 | 2006-06-10 |
| 1790747145 | Roy Claude Wood Jr. | Anesthesiology | 1325 Broadway St, Rockport, TX 78382-3333 | 2006-04-03 |
| 1023098159 | Shawn Zarr | Anesthesiology | 1325 Broadway St, Rockport, TX 78382-3333 | 2006-01-17 |
| 1174509962 | James A Dorsch | Anesthesiology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2005-12-22 |
| 1114903903 | Robert F Legendre Jr. | Anesthesiology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2005-12-22 |
| 1629054663 | Penbay Anesthesia, LLC | Anesthesiology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2005-12-21 |
| 1669458675 | Anthony P. Solley | Anesthesiology | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2005-12-21 |
| Find all providers in ROCKPORT | ||||
Please comment or provide details below to improve the information on APOLLO MEDICAL GROUP LLC.
| 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.