Active NPI
Apollo Wellness Group LLC
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1336769280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- APOLLO WELLNESS GROUP LLC
- Practice address
- 5005 E Stop 11 Rd
Indianapolis, IN 46237-9447 - Phone
- (317) 881-8119
- NPI assigned
- Apr 21, 2020
- 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
- Dr. Christine Green, DNP
- Title
- Managing Partner
- Phone
- (317) 881-8119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5005 E Stop 11 Rd
Indianapolis, IN 46237-9447
Mailing address
5005 E Stop 11 Rd
Indianapolis, IN 46237-9447
Phone (317) 881-8119
Other names 1
- Back to Health Complementary and Alternative Medicine Center
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.
-
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- Greenwood, IN
- NPI 1508922691
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1760016463
-
- Physical Therapist
- Indianapolis, IN
- NPI 1902976624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587427200000",
"number": "1336769280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 E STOP 11 RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379447",
"telephone_number": "317-881-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 E STOP 11 RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379447",
"telephone_number": "317-881-8119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO WELLNESS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "317-881-8119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Back to Health Complementary and Alternative Medicine Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.