Organization Active NPI

Apollo Urgent Care LLC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1801802129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
APOLLO URGENT CARE LLC
Practice address
2745 Bob Wallace Ave SW
Suite F
Huntsville, AL 35805-4158
Phone
(256) 534-1323
Fax
(256) 534-1780
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Margaret Crestani, M.D.NPI 1518936178
Title
M.D./Owner
Phone
(256) 534-1323

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2745 Bob Wallace Ave SW
Suite F
Huntsville, AL 35805-4158

Mailing address

PO Box 2916
Huntsville, AL 35804-2916
Phone (256) 534-1323

Other identifiers 2

IdentifierTypeStateIssuer
APPLIED FOROtherAL0000
APPLIED FORMedicaidAL

National Provider Directory

National Provider Directory

Locations

2745 Bob Wallace Ave SW
Ste F
Huntsville, AL 35805
Phone (256) 534-1323

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801802129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2916",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042916",
            "telephone_number": "256-534-1323",
            "fax_number": "256-534-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 BOB WALLACE AVE SW",
            "address_2": "SUITE F",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054158",
            "telephone_number": "256-534-1323",
            "fax_number": "256-534-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESTANI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "256-534-1323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0000",
            "identifier": "APPLIED FOR",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.