NEW MEXICO CANCER CARE ASSOCIATES (NPI# 1700816527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700816527 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO CANCER CARE ASSOCIATES |
| Practice Address |
490a W Zia Rd Santa Fe NM 87505-6996 |
| Practice Telephone | 5059138900 |
| Practice Fax Number | 5059138923 |
| Mailing Telephone | 5059138900 |
| Mailing Fax Number | 5059138923 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | SUE A MCDONALD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5059138951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | L1216 | 05 | |
| RAILROAD MEDICARE GROUP | CG8268 | 01 |
| Street Address |
490A W ZIA RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-6996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663306 | Leanna J Scott-timperley | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-14 |
| 1013280056 | Carolyn Sue Phillips | Nurse Practitioner | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2012-02-22 |
| 1922296656 | Jennifer Porter | Nurse Practitioner | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-10-09 |
| 1033302625 | Fei Gu | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-08-27 |
| 1750403259 | Amber Reynolds | Acupuncturist | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-04-04 |
| 1508916875 | Cheryll L Willin | Nurse Practitioner | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-01-11 |
| 1548340870 | Scott Herbert | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2006-10-17 |
| 1588698369 | Kathryn R Chan | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2006-07-10 |
| 1568418697 | Celina M Luchetti | Physician Assistant | 490a W Zia Rd, Suite 200, Santa Fe, NM 87505-6996 | 2006-05-26 |
| 1487653176 | David A Snyder | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-15 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952706301 | Robert Marcus | Specialist | 1603 City Lights St, Santa Fe, NM 87507-7613 | 2014-10-28 |
| 1841694049 | Steven Borges | Specialist | 2085 Avenida San Diego, Santa Fe, NM 87507 | 2014-10-16 |
| 1457762411 | Ashley Fried | Specialist | 18b Ellis Ranch Rd, Santa Fe, NM 87505-9537 | 2014-05-13 |
| 1679997027 | Jennifer Antill | Specialist | 32 Paseo Del Valle, Santa Fe, NM 87508-1402 | 2014-02-05 |
| 1023451606 | Moriah J. Williams | Specialist | 1229 S Saint Francis Dr, Santa Fe, NM 87505-4052 | 2013-04-12 |
| 1417214347 | Kimberly Gibbs | Specialist | 1315 S Saint Francis Dr Ste 3, Santa Fe, NM 87505-4035 | 2012-04-17 |
| 1013280791 | Richard Grant Curless | Specialist | 2117 Foothills Rd, Santa Fe, NM 87505-4526 | 2012-02-11 |
| 1356628515 | Paula Summer Gore | Specialist | 2383 Camino Capitan, Apt #1, Santa Fe, NM 87505-6442 | 2011-11-15 |
| 1164706677 | Patricia Smith | Specialist | 490b W Zia Rd Ste 1, Santa Fe, NM 87505-7009 | 2011-10-03 |
| 1114222924 | Monica A Prerovsky | Specialist | 4671 San Ysidro Place, Santa Fe, NM 87507 | 2011-01-26 |
| Find all providers in SANTA FE | ||||
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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.