Active NPI
Las Animas Emergency Group LLC
- Emergency Medicine Physician
- Trinidad, CO
National Provider Identifier
1972589372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- LAS ANIMAS EMERGENCY GROUP LLC
- Practice address
- 410 Benedicta Ave
Trinidad, CO 81082-2005 - Phone
- (800) 893-9698
- NPI assigned
- Dec 16, 2005
- 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
- Dr. William Cliff Schumacher, M.D.
- Title
- Ceo
- Phone
- (800) 893-9698
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
410 Benedicta Ave
Trinidad, CO 81082-2005
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18926258 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1972589372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BENEDICTA AVE",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822005",
"telephone_number": "800-893-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS ANIMAS EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "CLIFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-893-9698",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18926258",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trinidad, CO
- Teresa Larson, DIETITIAN
- Las Animas County Department of Social Services
- Las Animas County Department of Social Services
- Las Animas County Rehabilitation Center
- Las Animas County Rehabilitation Center
- Las Animas-Huerfano Counties District Health Department
- Karen Lavigne, L.M.T.
- Lees Hearing Solutions, LLC.
- Nancy Marie Lees
- Dillon Lemons, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.