SANTA FE CARDIOLOGY PC (NPI# 1346476173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346476173 |
Entity Type | Organization |
Organization Name | SANTA FE CARDIOLOGY PC |
Practice Address |
465 Saint Michaels Dr Suite 117 Santa Fe NM 87505-7670 |
Practice Telephone | 5059922600 |
Practice Fax Number | 5058781441 |
Mailing Telephone | 5059922600 |
Mailing Fax Number | 5058781441 |
Enumeration Date | 2009-06-08 |
Last Update Date | 2009-06-08 |
Authorized Official Name | DR. MARCELLIN SIMARD (OWNER) |
Authorized Official Telephone | 5059922600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD2006-0177 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | MEDICARE INDIVIDUAL NPI | 1881627479 | 01 |
Street Address |
465 SAINT MICHAELS DR SUITE 117 |
City | SANTA FE |
State | NM |
Zip Code | 87505-7670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568461374 | Marshall Tredway Watson Jr. | Neurological Surgery | 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 | 2005-07-14 |
1366980427 | St. Vincent Hospital | Pharmacy | 465 Saint Michaels Dr, Suite 112, Santa Fe, NM 87505-7670 | 2017-02-08 |
1184083594 | St. Vincent Hospital | Psychiatry & Neurology | 465 Saint Michaels Dr, Suite 116, Santa Fe, NM 87505-7670 | 2016-02-12 |
1205217270 | Sandra Judy | Health Educator | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2015-06-15 |
1609218452 | St. Vincent Hospital | Surgery | 465 Saint Michaels Dr, Suite 204, Santa Fe, NM 87505 | 2013-07-22 |
1740528975 | Patricia Donahue | Registered Nurse | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2013-01-23 |
1902108780 | Trisha Joella Maxon | Advanced Practice Midwife | 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 | 2010-11-29 |
1386899946 | Wound Care Associates LLC | Podiatrist | 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670 | 2008-11-24 |
1427205798 | St. Vincent Hospital | Obstetrics & Gynecology | 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670 | 2008-08-19 |
1255508461 | Philip Y Smucker | Neurological Surgery | 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 | 2008-05-15 |
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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 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871886226 | Irwin Hoffman Md PC | Internal Medicine | 646 Garcia St, Santa Fe, NM 87505-2858 | 2011-05-18 |
1710987813 | Robert W Pederson | Internal Medicine | 207 E Buena Vista St, Santa Fe, NM 87505-2621 | 2005-07-29 |
1841294758 | Robert Brad Stamm | Internal Medicine | 2085 S Pacheco St, Santa Fe, NM 87505-6103 | 2005-06-08 |
1780928218 | St. Vincent Hospital | Internal Medicine | 2085 S Pacheco St, Santa Fe, NM 87505-6103 | 2012-11-21 |
1821244385 | Adam P Ronan | Internal Medicine | 2085 S Pacheco St, Santa Fe, NM 87505 | 2008-08-14 |
1689795635 | Eecp LLC | Internal Medicine | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-04-03 |
1124118500 | Demosthenis Klonis | Internal Medicine | 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 | 2006-10-13 |
1619943529 | Mark Richard Zolnick | Internal Medicine | 2085 S Pacheco St, Santa Fe, NM 87505-6103 | 2006-02-28 |
1871597674 | Christopher Robert Charles Wyndham | Internal Medicine | 2085 S Pacheco St, Santa Fe, NM 87505-6103 | 2005-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1336781210 | United Diagnostic Services Nm LLC | Internal Medicine | 500 Marquette Ave Nw Ste 1296, Albuquerque, NM 87102-5340 | 2019-10-12 |
1366954190 | Alyce Lynn Dechant | Internal Medicine | 1101 -4 Medical Arts Ave Ne, Albuquerque, NM 87131-0001 | 2017-11-02 |
1104338672 | Mary Ann Lukas | Internal Medicine | 9328 Del Arroyo Ave Ne, Albuquerque, NM 87122-2907 | 2017-10-24 |
1710229638 | Phillip J Camp | Internal Medicine | Internal Medicine Msc10 5550, 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2013-03-18 |
1376846808 | Lawrence Kuo | Internal Medicine | 1053 Red Oaks Loop Ne, Albuquerque, NM 87122-1346 | 2010-12-05 |
1790919801 | Gallup Cardiology PC | Internal Medicine | 2028 E Aztec Ave, Gallup, NM 87301-4804 | 2009-05-05 |
1912188285 | Horacio Patricio Moreno-campos | Internal Medicine | 6745 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3382 | 2007-11-15 |
1467668905 | Jerome Eldon Goss | Internal Medicine | #5 Camino Del Sol St., Corrales, NM 87048 | 2007-05-14 |
1922126473 | David Earl Hoekenga | Internal Medicine | 6710 Pueblo Vis, Las Cruces, NM 88007-8905 | 2007-03-26 |
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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.