Apollo Medical Group of Jeffersonville LLC
NPI 1124607205ActiveOrganization· Anesthesiology· Jeffersonville, IN
Anesthesiology in Jeffersonville, Indiana, registered in NPPES in April 2021. The authorized official on file is Robin Van Sprundel, Director Of Administration. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124607205 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2021 |
| Last updated in NPPES | Apr 5, 2023 |
| Certified by provider | Apr 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Anesthesiology providers in Jeffersonville
- 1104102268
- 1043998537
- 1255380192
- 1699208975
- 1669490843
- 1407994973
- 1629028014
- 1124077060
- 1659561835
- 1588613426
- 1265481121
- 1477502854