Organization Active NPI

Innova Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Alamosa, CO
National Provider Identifier
1154938322
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
INNOVA EMERGENCY MEDICAL ASSOCIATES PC
Practice address
106 Blanca Ave
Alamosa, CO 81101-2340
Phone
(844) 466-6827
NPI assigned
Sep 30, 2020
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

106 Blanca Ave
Alamosa, CO 81101-2340

Mailing address

9878 W Belleview Ave # 5114
Denver, CO 80123-2101
Phone (844) 466-6827

Other names 1

  • San Luis Valley Health Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dani@innovaem.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2341626San Luis Valley Health-Medical Office Building106 Blanca Ave, Medical Office Building, Alamosa, CO 81101Provider-performed microscopyApr 5, 2028

National Provider Directory

National Provider Directory
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.

Locations

9888 W Belleview Ave
#5114
Littleton, CO 80123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "1154938322",
    "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": "106 BLANCA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012340",
            "telephone_number": "844-466-6827"
        }
    ],
    "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": "N",
            "address_1": "9888 W Belleview Ave # 5114",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801232101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "San Luis Valley Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "San Luis Valley Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.