Innova Healthcare LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

INNOVA HEALTHCARE LLC

Practice address

5555 Glenridge Connector
Ste. 200
Atlanta, GA 30342-4759

Phone

(404) 351-0055

NPI assigned

Apr 27, 2016

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Morianos

Title

Administrator

Phone

(404) 351-0055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1972958965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR",
            "address_2": "STE. 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "404-351-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR",
            "address_2": "STE. 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "404-351-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "MORIANOS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-351-0055"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Atlanta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.