ST. VINCENT HOSPITAL (NPI# 1770982951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770982951 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT HOSPITAL |
| Other Organization Name | CHRISTUS ST. VINCENT PALLIATIVE CARE |
| Practice Address |
490b W Zia Rd Suite 4 Santa Fe NM 87505-7008 |
| Practice Telephone | 5059133820 |
| Practice Fax Number | 5059133829 |
| Mailing Telephone | 5059133820 |
| Mailing Fax Number | 5059133829 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | BRUCE TASSIN (CEO/PRESIDENT) |
| Authorized Official Telephone | 5059135202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
NM | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHRISTUS St. Vincent Palliative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982104709 | St. Vincent Hospital | Dermatology | 465 Saint Michaels Dr Ste 220, Santa Fe, NM 87505-7670 | 2018-02-19 |
| 1598141152 | St. Vincent Hospital | Clinic/Center | 5501 Herrera Dr Ste B, Santa Fe, NM 87507-2684 | 2015-08-06 |
| 1538403894 | St. Vincent Hospital | Orthopaedic Surgery | 2968 Rodeo Park Dr W Ste 150, Santa Fe, NM 87505-6351 | 2012-11-26 |
| 1265790216 | St. Vincent Hospital | Surgery | 1213 Gusdorf Road, Taos, NM 87571 | 2012-04-27 |
| 1942568209 | St. Vincent Hospital | Surgery | 2237 Trinity Dr, Los Alamos, NM 87544-2385 | 2012-04-24 |
| 1184850398 | St. Vincent Hospital | Surgery | 490a W Zia Rd Ste 200, Santa Fe, NM 87505-7007 | 2009-06-02 |
| 1528210721 | St. Vincent Hospital | General Acute Care Hospital | 250 Bentley Dr, Zionsville, IN 46077-9000 | 2008-10-21 |
| 1053569368 | St. Vincent Hospital | Psychiatric Hospital | 80 Brookdale Ave, New Rochelle, NY 10801-2804 | 2008-08-29 |
| 1245438647 | St. Vincent Hospital | Family Medicine | 465 Saint Michaels Dr # 240, Santa Fe, NM 87505-7670 | 2007-07-06 |
| 1881711877 | St. Vincent Hospital | Internal Medicine | 490 W Zia Rd, A, Santa Fe, NM 87505-6996 | 2007-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST VINCENT HOSPITAL CREDIT UNION | 123 Summer St, Worcester, MA 01608-1216 |
| Indiana Business Entities | ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. | 2001 W 86th St, Po Box 40970, Indianapolis, IN 46260 |
| System for Award Management (SAM) Entities | ST. VINCENT HOSPITAL AND MEDIAL CENTER OF TOLEDO, OHIO | 2213 Cherry St, Toledo, OH 43608-2603 |
| Street Address |
490B W ZIA RD SUITE 4 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834676 | Elizabeth T Prishkulnik | Dentist | 490b W Zia Rd, Santa Fe, NM 87505-7008 | 2005-10-11 |
| 1558748954 | John Oberhausen | Massage Therapist | 490b W Zia Rd, Suite 4, Santa Fe, NM 87505-7008 | 2015-05-05 |
| 1053715920 | Amy Fredericks | Social Worker | 490b W Zia Rd, Suite 4, Santa Fe, NM 87505-7008 | 2014-10-21 |
| 1881011864 | Jeffery B Wheaton Dds Md and Associates LLC | Dentist | 490b W Zia Rd, Suite #3, Santa Fe, NM 87505-7008 | 2014-03-27 |
| 1922343110 | St. Vincent Hospital | Acupuncturist | 490b W Zia Rd, Suite 4, Santa Fe, NM 87505-7008 | 2012-11-29 |
| 1437305935 | Carey Ann Webb | Dental Hygienist | 490b W Zia Rd, Santa Fe, NM 87505-7008 | 2008-08-15 |
| 1831318906 | Dennis A. Frieder | Dentist | 490b W Zia Rd, Suite 3, Santa Fe, NM 87505-7008 | 2007-04-25 |
| 1558455923 | Douglas R Egli | Internal Medicine | 490b W Zia Rd, Santa Fe, NM 87505-7008 | 2006-10-03 |
| 1437103157 | Joseph M. Smith IIi | Surgery | 490b W Zia Rd, Suite A, Santa Fe, NM 87505-6996 | 2006-05-19 |
| 1487642641 | Jeffrey Wade Humberson | Dentist | 490b W Zia Rd, Santa Fe, NM 87505-7008 | 2005-10-12 |
| 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 | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013397363 | Gina Marie Lutz | Family Medicine | Hospice of New Mexico, 2900 Louisiana Blvd Ne, Albuquerque, NM 87110 | 2015-06-02 |
| 1649488255 | Ivan John Christov Nicolov | Family Medicine | Bia Rte 125, Pine Hill, NM 87357 | 2007-05-18 |
| 1346378015 | Francesco Standoli | Family Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2007-03-02 |
| 1740299379 | Nancy Guinn | Family Medicine | 8100 Constitution Pl Ne, Suite 400, Albuquerque, NM 87110-7643 | 2006-08-05 |
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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.