ST VINCENT HOSPITAL (NPI# 1477190882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477190882 |
| Entity Type | Organization |
| Organization Name | ST VINCENT HOSPITAL |
| Other Organization Name | CHRISTUS ST. VINCENT NEUROLOGY SPECIALISTS |
| Practice Address |
465 Saint Michaels Dr Ste 230 Santa Fe NM 87505-7670 |
| Practice Telephone | 5059134780 |
| Practice Fax Number | 5059136780 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | HOPE WADE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5059135203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHRISTUS St. Vincent Neurology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403528 | St Vincent Hospital | Clinic/Center | 440 Saint Michaels Dr Ste 150, Santa Fe, NM 87505-7637 | 2019-12-09 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1902454499 | St Vincent Hospital | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-08-28 |
| 1770146391 | St Vincent Hospital | Family Medicine | 433 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-04-18 |
| 1861968521 | St Vincent Hospital | Family Medicine | 1631 Hospital Dr Ste 100, Santa Fe, NM 87505-7631 | 2018-10-22 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1144689514 | St Vincent Hospital | Pharmacy | 465 Saint Michaels Dr Ste 112, Santa Fe, NM 87505-7621 | 2016-02-15 |
| 1477703775 | St Vincent Hospital | General Acute Care Hospital | 123 Summer St, Dept of Internal Medicine, Worcester, MA 01608-1216 | 2008-09-23 |
| 1598940033 | St Vincent Hospital | Otolaryngology | 1620 Hospital Dr, Santa Fe, NM 87505 | 2008-01-03 |
| 1285829366 | St Vincent Hospital | Obstetrics & Gynecology | 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505 | 2007-09-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST VINCENT HOSPITAL CREDIT UNION | 123 Summer St, Worcester, MA 01608-1216 |
| Street Address |
465 SAINT MICHAELS DR STE 230 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7670 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578715272 | Paul Dolph Flaggman | Psychiatry & Neurology | 811 Vista Canada Ln, Santa Fe, NM 87501-8714 | 2008-10-14 |
| 1396831558 | Gizelle A Spurgeon | Psychiatry & Neurology | 23 Calle Aguila, Santa Fe, NM 87508-5900 | 2006-10-05 |
| 1902902620 | Paul Walsky | Psychiatry & Neurology | 2212 Brothers Rd, Santa Fe, NM 87505-6903 | 2006-09-16 |
| 1164458659 | Ron Tintner | Psychiatry & Neurology | 61 Thundercloud Rd, Santa Fe, NM 87506-0121 | 2006-06-25 |
| 1184083594 | St. Vincent Hospital | Psychiatry & Neurology | 465 Saint Michaels Dr, Suite 116, Santa Fe, NM 87505-7670 | 2016-02-12 |
| 1831493584 | St. Vincent Hospital | Psychiatry & Neurology | 440 Saint Michaels Dr, Suite 250, Santa Fe, NM 87505-7602 | 2011-01-10 |
| 1437488020 | Paul E. Walsky, Md, P.C. | Psychiatry & Neurology | 531 Harkle Rd, Suite A-1, Santa Fe, NM 87505-4753 | 2009-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1083841399 | Elizabeth M Macri | Psychiatry & Neurology | 2211 Lomas Blvd Ne Unm-neurology Msc10 5620, Albuquerque, NM 87131-3011 | 2009-06-12 |
| 1417193459 | Semiramis Youssof | Psychiatry & Neurology | Msc 10 5620, Albuquerque, NM 87131-0001 | 2008-12-22 |
| 1831355106 | Matthew Todd Starr | Psychiatry & Neurology | Department of Neurology Msc10 5620 Health Ctr, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-08-05 |
| 1457531022 | John A Campa IIi | Psychiatry & Neurology | 7520 Montgomery Blvd Ne Bldg E4, Albuquerque, NM 87109-1554 | 2007-11-12 |
| 1730381179 | Erik Burton | Psychiatry & Neurology | 1101 Yale Blvd Ne, Albuquerque, NM 87106-3834 | 2007-06-05 |
| 1487856431 | Kenneth Imerman | Psychiatry & Neurology | Department of Neurology Msc10 5620, Health Science Center, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-01 |
| 1912039173 | Wendy Dimmette Md P C | Psychiatry & Neurology | 1235 8th St Ste 700, Las Vegas, NM 87701-4219 | 2007-03-12 |
| 1124167135 | Baljinder S Sandhu | Psychiatry & Neurology | Pmg Cedar Neurology, 201 Cedar Se, Albuquerque, NM 87106 | 2007-02-06 |
| 1821137837 | Luzma Cardona | Psychiatry & Neurology | Unm Hospital Neurology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
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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.