Apollo Medical Group of Portsmouth PLLC
Organization Active NPI Anesthesiology Physician · Newington, NH
NPI 1023780657 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1023780657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- APOLLO MEDICAL GROUP OF PORTSMOUTH PLLC
- Practice address
- 291 Shattuck Way
Newington, NH 03801-7869 - Phone
- (561) 330-3381
- Fax
- (561) 330-3382
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Robin Van Sprundel
- Title
- Director of Administration
- Phone
- (941) 725-1198
Practitioners 22
-
Steven James Birchenough, CRNA
-
Maria Eugenia Estrada, CRNA, MS
-
Anna J Goodkin, CRNA
-
Jennifer L Howard, CRNA
-
Ryan R Joyce, M.D
-
Michael Lane, MD
-
Jennifer L Levasseur, CRNA
-
Tawnya J Lopez, CRNA
-
Corey Allen Macdonald, C.R.N.A.
-
Jennifer Reed Clark, CRNA
-
Nicholas Tzavalas, M.D.
-
Bradley O Whyte, CRNA
-
Zachary Chase, CRNA
-
Scott Charles Dugas, CRNA
-
Ayman Elfar, MD
-
Candido M Guiao, M.D.
-
Jon-Richard Knoff, M.D.
-
Patricia Marie Weigle, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211130003135 | NH | Part B Supplier - Clinic/Group Practice | 9032509344 |
Receives reassigned benefits from 22 practitioners Practice locations: Newington, NH |
National Provider Directory
Locations
291 Shattuck Way
Portsmouth, NH 03801
Phone (561) 330-3381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
291 Shattuck Way
Newington, NH 03801-7869
Mailing address
PO Box 20848
Springfield, IL 62708-0848
Phone (941) 360-1566
Other providers in Newington, NH
- Karen L Adams
- Lauren Alexander
- Maryssa A Allen
- Aphazone Unit, LLC
- Appledore Medical Group Dba Woodbury Family Practice
- Appledore Medical Group DO Not Use
- Appledore Medical Group, Inc.
- Au Blanc NH PLLC
- Christine Lee Austin Campbell
All providers in Newington, NH · Anesthesiology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.