Active NPI
Apollo Woundcare, LLC
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- New Orleans, LA
National Provider Identifier
1104643717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Legal business name
- APOLLO WOUNDCARE, LLC
- Practice address
- 3217 Chartres St
New Orleans, LA 70117-6712 - Phone
- (228) 865-1330
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Agans, MD
- Title
- Owner
- Phone
- (228) 865-1330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | Primary |
Addresses
Primary practice location
3217 Chartres St
New Orleans, LA 70117-6712
Mailing address
3217 Chartres St
New Orleans, LA 70117-6712
Phone (228) 865-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241115003710 | LA | Part B Supplier - Clinic/Group Practice | 7618401316 |
Receives reassigned benefits from 3 practitioners Practice locations: New Orleans, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Marrero, LA
- NPI 1730377607
LA, Undersea and Hyperbaric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1104643717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 CHARTRES ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701176712",
"telephone_number": "228-865-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 CHARTRES ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701176712",
"telephone_number": "228-865-1330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO WOUNDCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "AGANS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-865-1330",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.