ST. VINCENT HOSPITAL (NPI# 1336347731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336347731 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT HOSPITAL |
| Other Organization Name | ST. VINCENT HOSPITALISTS GROUP |
| Practice Address |
455 Saint Michaels Dr Santa Fe NM 87505-7601 |
| Practice Telephone | 5059896130 |
| Practice Fax Number | 5059135408 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | BRUCE TASSIN (PRESIDENT CEO) |
| Authorized Official Telephone | 5059135202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 45690 | 05 |
| Other Name | Type Code |
|---|---|
| St. Vincent Hospitalists Group | 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 |
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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801325634 | New Mexico Pac Services PC | Hospitalist | 635 Harkle Rd, Santa Fe, NM 87505-4751 | 2017-06-06 |
| 1619313285 | St. Vincent Hospital | Hospitalist | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619449857 | David Anthony Silva | Hospitalist | 1134 Turkey Knob Dr, Las Cruces, NM 88012-6118 | 2018-12-28 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1386902260 | Bilal Mohammad Khan | Hospitalist | Msc04 -2785 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-04-27 |
| 1275778433 | Lisa Marie Lesher | Hospitalist | 202 S Guadalupe St, Carlsbad, NM 88220-5725 | 2008-12-02 |
| 1548265713 | Milagro Medical Group PC | Hospitalist | 504 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-15 |
| 1215408497 | Aanu Ogunbanjo | Hospitalist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-12-16 |
| 1770064743 | Invictus Healthcare Management, LLC | Hospitalist | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2018-08-27 |
| 1366928749 | Nm Pacs 2 LLC | Hospitalist | 10101 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-6022 | 2018-07-18 |
| 1407383417 | John Wuthrich | Hospitalist | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2017-05-22 |
| 1528420676 | Rebecca B Richardson | Hospitalist | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0002 | 2016-03-27 |
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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.