EECP LLC (NPI# 1689795635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689795635 |
| Entity Type | Organization |
| Organization Name | EECP LLC |
| Practice Address |
455 Saint Michaels Dr Santa Fe NM 87505-7601 |
| Mailing Address |
502 Elm St Ne Albuquerque NM 87102-2512 |
| Practice Telephone | 5058411000 |
| Practice Fax Number | 5058432956 |
| Mailing Telephone | 5058411000 |
| Mailing Fax Number | 5058432956 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. R BRAD STAMM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5058411000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
83-312 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 70386064 | 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 |
| 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 | 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 |
| 1346476173 | Santa Fe Cardiology PC | Internal Medicine | 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 | 2009-06-08 |
| 1821244385 | Adam P Ronan | Internal Medicine | 2085 S Pacheco St, Santa Fe, NM 87505 | 2008-08-14 |
| 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.