Innova Vein and Vascular LLC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

INNOVA VEIN AND VASCULAR LLC

Practice address

4600 Montgomery Blvd NE # B
Suite 100
Albuquerque, NM 87109-1210

Phone

(719) 320-3691

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John E Sanchez

Title

Ceo

Phone

(719) 320-3691

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

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

• Ismael Pereira, PA-C

  • Phlebology Physician
  • Albuquerque, NM
  • NPI 1568913911
  Medicare reassignment
• Kristina N Sanchez, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1497717078
  Medicare reassignment
• Christine Fehrmann, PA

  • Phlebology Physician
  • Albuquerque, NM
  • NPI 1437591823
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1013398437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE # B",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091210",
            "telephone_number": "719-320-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE # B",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091210",
            "telephone_number": "719-320-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA VEIN AND VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-320-3691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason J Innerhofer, PA(ASCP)
• Innerwork Psychotherapy and Counseling
• Innovative Health at Home Incorporated
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• Innovative Senior Care Home Health of Albuquerque LLC
• Innovative Speech Therapy
• Sean Inocencio

• Phlebology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Phlebology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.