Active NPI
Apollo Medical Group of Wellington LLC
- Anesthesiology Physician
- Cincinnati, OH
National Provider Identifier
1629675129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- APOLLO MEDICAL GROUP OF WELLINGTON LLC
- Practice address
- 4355 Ferguson Dr Ste 190
Cincinnati, OH 45245-5137 - Phone
- (360) 903-1036
- NPI assigned
- Oct 7, 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
- Ayman Elfar, MD
- Title
- Member/Manager
- Phone
- (941) 360-1566
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
4355 Ferguson Dr Ste 190
Cincinnati, OH 45245-5137
Mailing address
PO Box 4186
Springfield, IL 62708-4186
Phone (941) 360-1566
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1629675129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4186",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627084186",
"telephone_number": "941-360-1566",
"fax_number": "941-358-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 FERGUSON DR STE 190",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452455137",
"telephone_number": "360-903-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO MEDICAL GROUP OF WELLINGTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "ELFAR",
"authorized_official_first_name": "AYMAN",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "941-360-1566",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.