ST. VINCENT HOSPITAL (NPI# 1982104709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982104709 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT HOSPITAL |
| Other Organization Name | CHRISTUS ST. VINCENT DERMATOLOGY SPECIALISTS |
| Practice Address |
465 Saint Michaels Dr Ste 220 Santa Fe NM 87505-7670 |
| Mailing Address |
465 Saint Michaels Dr Ste 220 Santa Fe NM 87505-8602 |
| Practice Telephone | 5059133380 |
| Practice Fax Number | 5059133389 |
| Mailing Telephone | 5059133380 |
| Mailing Fax Number | 5059133389 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | LILLIAN MONTOYA (CEO) |
| Authorized Official Telephone | 5059135201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CSV DEPT CODE | 3635 | 01 |
| Other Name | Type Code |
|---|---|
| CHRISTUS St. Vincent Dermatology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1598882797 | St. Vincent Hospital | Family Medicine | 530 Harkle Rd Suite A, Santa Fe, NM 87505-4713 | 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 |
465 SAINT MICHAELS DR STE 220 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7670 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013146679 | Madad Group Inc | Dermatology | 3600 Cerrillos Rd Ste 724c, Santa Fe, NM 87507-2690 | 2009-07-03 |
| 1457516676 | Leon Miller, M.d., Inc. | Dermatology | 839 C Paseo De Peralta, Santa Fe, NM 87501 | 2008-07-28 |
| 1598989857 | Kenneth H Brooks | Dermatology | 846 Camino Ranchitos, Santa Fe, NM 87505-2840 | 2007-04-11 |
| 1588763072 | Norman R Kaczmarek | Dermatology | 539 Harkle Rd, Suite B, Santa Fe, NM 87505-4782 | 2006-09-21 |
| 1154426427 | James H Auerbach | Dermatology | 435 Saint Michaels Dr Ste A101, Santa Fe, NM 87505-7668 | 2006-09-13 |
| 1649388422 | Ronald Rovner | Dermatology | No. 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 | 2006-08-29 |
| 1992750483 | Brenda K Schneider | Dermatology | 490 A W Zia Rd, Suite 205, Santa Fe, NM 87505-6996 | 2006-05-23 |
| 1831158385 | John Bradford Bowden | Dermatology | 1651 Galisteo St Ste 5, Santa Fe, NM 87505 | 2006-03-22 |
| 1245752005 | Dermatology Partners of Northern New Mexico | Dermatology | 1651 Galisteo St Ste 5, Santa Fe, NM 87505-4752 | 2017-07-13 |
| 1316324841 | Integrated Dermatology of Santa Fe, LLC | Dermatology | 1850 Old Pecos Trl, Suite J, Santa Fe, NM 87505-4760 | 2015-05-05 |
| 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.