MEDICARE: APEX THERAPUTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1104668870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX THERAPUTICS LLC

Provider Business Mailing Address
First Line	:	1911 OLD FAIRFIELD RD STE 210
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2754
Country	:	US
Telephone Number	:	937-554-6648
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 COMMONS BLVD STE 130
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-3840
Country	:	US
Telephone Number	:	937-280-4970
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	ANDREA B LEWIS
Credential	:
Telephone Number	:	937-554-6648

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/11/2026

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