{"npi":"1740450220","type":"NPI-1","status":"active","name":{"display":"Mark Innis MD","other":[],"first":"MARK","last":"INNIS","middle":"AINSLEY","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"NY","license":"248590"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"IN","license":"01078891A"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"VA","license":"0101243430"}]},"addresses":[{"purpose":"LOCATION","street_1":"3636 HIGH ST","city":"PORTSMOUTH","state":"VA","postal_code":"237073236","country_code":"US","phone":"7573982200","fax":"7573982359"},{"purpose":"MAILING","street_1":"1431 CENTERPOINT BLVD","city":"KNOXVILLE","state":"TN","postal_code":"379321984","country_code":"US","street_2":"SUITE 100","phone":"8659857012","fax":"8659857077"}],"license":{"state":"VA","number":"0101243430"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1740450220","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080725000496","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"VA","pac_id":"6800969601"},{"enrlmt_id":"I20131112002048","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NY","pac_id":"6800969601"},{"enrlmt_id":"I20170627000746","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"KY","pac_id":"6800969601"},{"enrlmt_id":"I20170718003433","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"IN","pac_id":"6800969601"},{"enrlmt_id":"I20201020001236","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WV","pac_id":"6800969601"},{"enrlmt_id":"I20201215000905","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"SC","pac_id":"6800969601"},{"enrlmt_id":"I20250905000965","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NC","pac_id":"6800969601"}]},"enumeration_date":"2008-03-11","last_updated":"2026-04-03","_meta":{"source":"NPPES","snapshot_date":"2026-04-03","doc_url":"https://findmynpi.com/api"}}