NPI 1629675129 · live from the CMS NPI Registry
Apollo Medical Group Of Wellington LLC
Anesthesiology in Cincinnati, OH. National Provider Identifier 1629675129, active.
NPI record
| NPI | 1629675129 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245 |
| Practice phone | 360-903-1036 |
| Mailing address | Po Box 4186, Springfield, IL 62708 |
| Enumerated | October 7, 2020 |
| Last updated | October 7, 2020 |
| Authorized official | Ayman Elfar, Member/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.