Apollo Medical Group of Seabrook PLLC

Organization Active NPI Anesthesiology Physician · Seabrook, NH

NPI 1962054841 · NPPES record last updated Apr 5, 2023

Key facts

NPI
1962054841
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
APOLLO MEDICAL GROUP OF SEABROOK PLLC
Practice address
325 Lafayette Rd
Seabrook, NH 03874-4539
Phone
(603) 218-1793
Fax
(603) 218-1794
NPI assigned
Jul 11, 2019
Organization subpart
No

Authorized official

Name
Robin Van Sprundel
Title
Director of Administration
Phone
(941) 725-1198

Practitioners 25

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190917000085 NH Part B Supplier - Clinic/Group Practice 3870822893 Receives reassigned benefits from 25 practitioners
Practice locations: Seabrook, NH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes
Certified Registered Nurse Anesthetist
Group: 193200000X MULTI-SPECIALTY GROUP
367500000X

Addresses

Primary practice location

325 Lafayette Rd
Seabrook, NH 03874-4539

Mailing address

PO Box 3523
Springfield, IL 62708-3523
Phone (941) 360-1566

Other providers in Seabrook, NH

All providers in Seabrook, NH · Anesthesiology Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.