JOHN DIRK WASSNER (NPI# 1366410961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366410961 |
| Entity Type | Individual |
| Full Name | JOHN DIRK WASSNER |
| Credential | MD |
| Practice Address |
465 Saint Michaels Dr Suite 110 Santa Fe NM 87505-7670 |
| Mailing Address |
455 Saint Michaels Dr Medical Staff Office Santa Fe NM 87505-7601 |
| Practice Telephone | 5059548720 |
| Mailing Telephone | 5058205227 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD2006-0010 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 2607463 | 01 | |
| PRESBYTERIAN HEALTH PLAN | 202005441 | 01 | |
| NM | BCBS NM | NM009X29 | 01 |
| NM | LOVELACE | 10024478 | 01 |
| NM | 80509568 | 05 | |
| MOLINA HEALTHCARE | QMYPR0070898 | 01 |
| Street Address |
465 SAINT MICHAELS DR SUITE 110 |
| 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 |
| 1346476173 | Santa Fe Cardiology PC | Internal Medicine | 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 | 2009-06-08 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154613248 | Julie Ann Wesp | Surgery | 1631 Hospital Dr Ste 240, Santa Fe, NM 87505-7691 | 2011-05-06 |
| 1184850398 | St. Vincent Hospital | Surgery | 490a W Zia Rd Ste 200, Santa Fe, NM 87505-7007 | 2009-06-02 |
| 1437398393 | Anna M Voltura Md PC | Surgery | 1651 Galisteo St Ste 6, Santa Fe, NM 87505-4752 | 2009-02-16 |
| 1245488329 | Albert Gallatin Simms II Md | Surgery | 409 Circle Dr, Santa Fe, NM 87501-8883 | 2008-09-03 |
| 1205975422 | William Edgefield Mitchell Jr. | Surgery | 9a Rocky Slope Dr, Santa Fe, NM 87508-1345 | 2007-02-05 |
| 1265583736 | Dara Vahid | Surgery | 61 Calle Encanto, Santa Fe, NM 87506-0032 | 2007-01-13 |
| 1285784140 | Anna M Voltura | Surgery | 435 Saint Michaels Dr Ste 104, Santa Fe, NM 87505-7672 | 2007-01-11 |
| 1295004547 | St. Vincent Hospital | Surgery | 2990 Rodeo Park Dr E, Santa Fe, NM 87505-6302 | 2011-12-15 |
| 1871723130 | St. Vincent Hospital | Surgery | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2009-07-21 |
| 1740415439 | Salvador Sordo | Surgery | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2009-05-25 |
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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.