ST. VINCENT HOSPITAL (NPI# 1972620102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972620102 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT HOSPITAL |
| Other Organization Name | ST VINCENT CAMINO ENTRADA PEDIATRICS |
| Practice Address |
2590 Camino Entrada Santa Fe NM 87507-4876 |
| Practice Telephone | 5059463233 |
| Practice Fax Number | 5059463234 |
| Mailing Telephone | 5059463233 |
| Mailing Fax Number | 5059463234 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | J ALEX VALDEZ (CEO PRESIDENT) |
| Authorized Official Telephone | 5058205227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 18402020 | 05 |
| Other Name | Type Code |
|---|---|
| St Vincent Camino Entrada Pediatrics | 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 |
2590 CAMINO ENTRADA |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-4876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855309 | Anne Cecelia Kessler | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2006-03-22 |
| 1053634170 | St. Vincent Hospital | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2010-03-03 |
| 1619183001 | Vincent Chmielarczyk | Registered Nurse | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2007-05-15 |
| 1538193818 | Robin Marie Edward | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2006-07-10 |
| 1790719078 | Michael Smith Patterson | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2006-07-10 |
| 1649200528 | Javier Iturbe | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104255454 | Victor Lacerva | Pediatrics | 52 Zambra Way, Santa Fe, NM 87506-0154 | 2013-11-07 |
| 1194150318 | Molina Medical Group of New Mexico, PC | Pediatrics | 1714 Saint Michaels Dr # 1, Santa Fe, NM 87505-7617 | 2013-09-06 |
| 1801177944 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1714 Saint Michaels Dr, #1, Santa Fe, NM 87505-7617 | 2011-09-02 |
| 1669597258 | St. Vincent Hospital | Pediatrics | 465 Saint Michaels Dr # 200, Santa Fe, NM 87505 | 2007-03-20 |
| 1255479309 | Chad Smelser | Pediatrics | 1190 St Francis Dr, Santa Fe, NM 87502 | 2007-02-01 |
| 1225133143 | Santa Fe Pediatric Associates PC | Pediatrics | 1418 Luisa Street, Suite 5, Santa Fe, NM 87505 | 2006-09-14 |
| 1285641498 | Grace Nadell | Pediatrics | 5501 Herrera Contenta, Santa Fe, NM 87507 | 2006-08-01 |
| 1912956004 | Richard D Kenney | Pediatrics | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2006-05-08 |
| 1801855309 | Anne Cecelia Kessler | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2006-03-22 |
| 1518935386 | Jennifer Lyon Skillman | Pediatrics | 2025 S Galisteo, Santa Fe, NM 87505 | 2006-03-09 |
| 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.