DR. JD GRISTE (NPI# 1588684831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588684831 |
| Entity Type | Individual |
| Full Name | DR. JD GRISTE |
| Credential | MD |
| Practice Address |
1640 Hospital Dr Santa Fe NM 87505-4754 |
| Practice Telephone | 5059839350 |
| Practice Fax Number | 5059558763 |
| Mailing Telephone | 5059839350 |
| Mailing Fax Number | 5059558763 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
94-258 | NM | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
94-258 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 20568 | 05 |
| Street Address |
1640 HOSPITAL DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861450736 | Kevin D Lee | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-05-02 |
| 1902168578 | Thaddeus Fu-cheng Sze | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505 | 2012-06-11 |
| 1659410694 | Margaret Lancaster Gallegos | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2007-02-06 |
| 1679683692 | Monica Harvant Saini | Radiology | 1640 Hospital Dr, Santa Fe Imaging, Santa Fe, NM 87505 | 2006-08-30 |
| 1801818315 | Andrew N Beagle | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-24 |
| 1679595193 | Jonathan D Lehman | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-24 |
| 1629098470 | William J Litzenberg | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-21 |
| 1760402523 | Regina A Valencia | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-21 |
| 1013937408 | Santa Fe Imaging LLC | Clinic/Center | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-20 |
| 1083634315 | Robin J Gaupp | Radiology | 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-07-20 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114940228 | Lance Dell | Radiology | 9504 Riverdale Ln Nw, Albuquerque, NM 87114-5965 | 2006-07-26 |
| 1932465010 | Robert Anthony Blakely | Radiology | 1 University of New Mexico, Msc 09-5030, Albuquerque, NM 87131 | 2012-04-03 |
| 1114248283 | Marc Christopher Mabray | Radiology | 1 University of New Mexico, Msc 10 5530 Department of Radiology, Albuquerque, NM 87106 | 2010-06-11 |
| 1952626079 | Eric Munoz | Radiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2010-03-31 |
| 1023263704 | Danielle Eckart Sorte | Radiology | Dept of Radiology Msc 10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-11-24 |
| 1669532008 | Stephen Brent Carroll | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2006-12-08 |
| 1699780155 | Frederick W. Rupp Jr. | Radiology | 2211 Lomas Blvd. Ne, Unm Hospital, Albuquerque, NM 87131 | 2006-07-30 |
| 1265455505 | Jesse Rael | Radiology | 4901 Lang Ave Ne, Albuquerque, NM 87109 | 2006-07-26 |
| 1669431367 | Enrique M Bursztyn | Radiology | 301 E Miel De Luna Ave, Tucumcari, NM 88401-3810 | 2006-03-21 |
| 1760477970 | John C Collingwood | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2005-09-14 |
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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.