Active NPI
Innova Emergency Medical Associates PC
- Emergency Medicine Physician
- Alamosa, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dani@innovaem.com |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2341626 | San Luis Valley Health-Medical Office Building | Provider-performed microscopy | Apr 5, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Conejos County Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- La Jara, CO
- NPI 1033726211
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.
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1528260866
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.