Innova Emergency Medical Associates PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

INNOVA EMERGENCY MEDICAL ASSOCIATES PC

Practice address

19021 US Highway 285
La Jara, CO 81140-9410

Phone

(719) 274-5121

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Williams

Title

Ceo

Phone

(844) 466-6827

Specialties & licenses 1

Addresses

Other names 1

• Conejos County Hospital Other name

Electronic endpoints 1

Tax ID family

Conejos County Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innova Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Alamosa, CO
  • NPI 1154938322
  NPD tax ID

Locations

Practitioners 1

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

• Stephen Vincent Sherick, M.D.

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1528260866
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1033726211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 W BELLEVIEW AVE # 5114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "801232101",
            "telephone_number": "844-466-6827",
            "fax_number": "844-466-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 US HIGHWAY 285",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811409410",
            "telephone_number": "719-274-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA EMERGENCY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-466-6827"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dani@innovaem.com",
            "affiliation": "Y",
            "affiliationName": "Innova Emergency Medical Associates PC",
            "address_1": "19021 US Highway 285",
            "city": "LA Jara",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811409410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Conejos County Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Conejos County Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emergency Medicine Physician in La Jara, CO
• Providers in La Jara, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.