Apollo Medical Group of Northern Michigan PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

APOLLO MEDICAL GROUP OF NORTHERN MICHIGAN PLLC

Practice address

825 Moll Dr
Boyne City, MI 49712-9182

Phone

(231) 497-1031

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Robin Van Sprundel

Title

Director of Administration

Phone

(941) 725-1198

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayman Elfar, MD

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1194774059
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1821722984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4276",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627084276",
            "telephone_number": "941-725-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MOLL DR",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129182",
            "telephone_number": "231-497-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDICAL GROUP OF NORTHERN MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "VAN SPRUNDEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "941-725-1198"
    },
    "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": []
}

• Alisha Peck, LMSW
• Courtney Ann Angell, OTR/L
• Ann Holland Professional Counseling PLLC
• Ann T Holland Licensed Professional Counseling PLLC
• Mark C Antonishen, M.D.
• Cynthia M Banner, PT
• Katelyn Banner
• Scott Jeffrey Beebe, A.T., C.
• Kelly Belko
• Pamela Bell

• Anesthesiology Physician in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.