MR. DAMEK SANTIAGO MAURICE (NPI# 1083026140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083026140 |
| Entity Type | Individual |
| Full Name | MR. DAMEK SANTIAGO MAURICE |
| Practice Address |
Christus St. Vincent Regional Medical Center 455 St. Michaels Drive Santa Fe NM 87505 |
| Mailing Address |
1640 Old Pecos Trl Ste H Santa Fe NM 87505-4777 |
| Practice Telephone | 5059133934 |
| Mailing Telephone | 5059920233 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A225519 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 63756 | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 47 New Scotland Ave, Dept. of Emergency Medicine, Albany, NY 122083412 | 5182624050 |
| Street Address |
CHRISTUS ST. VINCENT REGIONAL MEDICAL CENTER 455 ST. MICHAELS DRIVE |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477842425 | Jonathan Severy | Emergency Medicine | 104 Calle La Pena, Santa Fe, NM 87505-2877 | 2011-03-30 |
| 1811211766 | Victor L Sherman | Emergency Medicine | 1029 Cielo Azul St, Santa Fe, NM 87501-1607 | 2010-03-22 |
| 1356428593 | Robert Leo Yuskaitis | Emergency Medicine | 3032 Plaza Blanca, Santa Fe, NM 87507 | 2006-11-01 |
| 1316032873 | On Call Medical Services LLC | Emergency Medicine | 431 St Michaels Dr, Suite B, Santa Fe, NM 87505-0000 | 2006-10-03 |
| 1346343324 | Stephen Marshall Corriz | Emergency Medicine | 3450 Zafarano Drive Suite C, Aspen Medical Group, LLC, Santa Fe, NM 87507-2669 | 2006-09-06 |
| 1962411009 | Lee Stewart Anderson Jr. | Emergency Medicine | 455 St. Michaels Drive, Santa Fe, NM 87505 | 2006-08-07 |
| 1649289901 | Rosalind D Mitchell | Emergency Medicine | 306 East Marcy St, Santa Fe, NM 87501 | 2006-08-05 |
| 1912929316 | Roger Vigil | Emergency Medicine | 65 Vuelta Maria, Santa Fe, NM 87506-9597 | 2006-07-24 |
| 1164489613 | Lesa Deanne Fraker | Emergency Medicine | 707 Paseo De Peralta, Santa Fe, NM 87501 | 2006-04-27 |
| 1811958150 | Kenneth Stewart | Emergency Medicine | 901 W Alameda St, 25, Santa Fe, NM 87501-1681 | 2006-03-28 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.