DR. JACK EVERETT ZWEMER (NPI# 1609963230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609963230 |
| Entity Type | Individual |
| Full Name | DR. JACK EVERETT ZWEMER |
| Credential | M.D. |
| Practice Address |
455 Saint Michaels Dr Santa Fe NM 87505-7601 |
| Mailing Address |
465 Saint Michaels Dr Suite 115 Santa Fe NM 87505-7670 |
| Practice Telephone | 5059868620 |
| Practice Fax Number | 5058202461 |
| Mailing Telephone | 5059868620 |
| Mailing Fax Number | 5058202461 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
84-293 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE CROSS&BLUE SHIELD | 00NM003087 | 01 |
| NM | 00035063 | 05 |
| Street Address |
455 SAINT MICHAELS DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021233 | Bryan W Goss | Radiology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2005-05-23 |
| 1194324996 | Ashley Dawn Powell | Pharmacist | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-10-22 |
| 1356949549 | Leo Santos | Nurse Practitioner | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-10-11 |
| 1538772751 | Audrea Nicole Nolan | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-08-27 |
| 1912510165 | Antonio Samuel Gervais | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-08-27 |
| 1326664939 | Jesse August Schedler | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-06-19 |
| 1154945830 | Brett Elliff | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-05-29 |
| 1275156275 | Christopher Parrish | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-05-26 |
| 1255971453 | Juliana Ramos | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-01-15 |
| 1134766512 | Ying Xiong | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-12-05 |
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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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538459672 | Theresa Christine Smith | Pathology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2011-04-11 |
| 1780876540 | Timothy J Vanderjagt | Pathology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-08-15 |
| 1043308810 | Santa Fe Pathology Services Pa | Pathology | 455 St Michaels Drive, Santa Fe, NM 87505-7621 | 2006-10-10 |
| 1235225939 | Herbert Clark Anderson | Pathology | 455 St Michaels Drive, Santa Fe, NM 87505-7621 | 2006-10-04 |
| 1982799433 | Frank Pierr Johnson | Pathology | 455 St Michaels Drive, Santa Fe, NM 87505-7621 | 2006-10-03 |
| 1922191782 | Stephanie Anne Rosen | Pathology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119725 | Madeline Woodward | Pathology | 1020 Stanford Dr Ne, Albuquerque, NM 87106-3720 | 2020-09-17 |
| 1891173647 | Rebecca L. Lynn Kunak | Pathology | Msc 07-4040 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-13 |
| 1457761108 | Laura Naomi Toth | Pathology | Msc 07-4040 I University of New Mexico, Albuquerque, NM 87131 | 2014-05-03 |
| 1902224488 | Alae Abod Yaseen | Pathology | Msc (pathology) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-04-02 |
| 1881026078 | Shweta Agarwal | Pathology | 1 University of New Mexico Msc08-4640, Albuquerque, NM 87131-0001 | 2013-07-30 |
| 1720421290 | Joshua K Routh | Pathology | Msc 07 0404 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-15 |
| 1457600496 | Nathan James Thompson | Pathology | Department of Pathology Bmsb 335 915 Camino, Albuquerque, NM 87131-0001 | 2012-09-06 |
| 1033474077 | Joseph Ross Griggs | Pathology | Msc 08 4640, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-07-05 |
| 1265792170 | Paul Christopher Yell | Pathology | Msc Pathology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-05-24 |
| 1346516325 | Joanna L. Conant | Pathology | Msc Pathology Department, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-03-23 |
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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.