ST. VINCENT HOSPITAL (NPI# 1609218452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609218452 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT HOSPITAL |
| Other Organization Name | CHRISTUS ST. VINCENT PLASTICS AND RECONSTRUCTION SERVICES |
| Practice Address |
465 Saint Michaels Dr Suite 204 Santa Fe NM 87505 |
| Mailing Address |
455 St Michaels Dr Santa Fe NM 87505-7601 |
| Practice Telephone | 5059133101 |
| Mailing Telephone | 5059135227 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | LILLIAN MONTOYA (CEO/PRESIDENT) |
| Authorized Official Telephone | 5059135201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
NM | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHRISTUS St. Vincent Plastics and Reconstruction Services | 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 |
465 SAINT MICHAELS DR SUITE 204 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461374 | Marshall Tredway Watson Jr. | Neurological Surgery | 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 | 2005-07-14 |
| 1366980427 | St. Vincent Hospital | Pharmacy | 465 Saint Michaels Dr, Suite 112, Santa Fe, NM 87505-7670 | 2017-02-08 |
| 1184083594 | St. Vincent Hospital | Psychiatry & Neurology | 465 Saint Michaels Dr, Suite 116, Santa Fe, NM 87505-7670 | 2016-02-12 |
| 1205217270 | Sandra Judy | Health Educator | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2015-06-15 |
| 1740528975 | Patricia Donahue | Registered Nurse | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2013-01-23 |
| 1902108780 | Trisha Joella Maxon | Advanced Practice Midwife | 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 | 2010-11-29 |
| 1346476173 | Santa Fe Cardiology PC | Internal Medicine | 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 | 2009-06-08 |
| 1386899946 | Wound Care Associates LLC | Podiatrist | 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670 | 2008-11-24 |
| 1427205798 | St. Vincent Hospital | Obstetrics & Gynecology | 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670 | 2008-08-19 |
| 1255508461 | Philip Y Smucker | Neurological Surgery | 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 | 2008-05-15 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669686903 | Steven Mark Garren | Surgery | 105 Avenida Frijoles, Santa Fe, NM 87507-3539 | 2007-05-09 |
| 1669595559 | Roger Miller | Surgery | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2007-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209792 | Adams Plastic Surgery, PC | Surgery | 2300 E 30th St Ste 103, Farmington, NM 87401-8990 | 2012-10-10 |
| 1124110283 | Todd E Williams | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-09-28 |
| 1649289158 | Chester Y Sakura Jr. | Surgery | 1020 Tijeras Ne, Ste 235, Albuquerque, NM 87106 | 2006-08-05 |
| 1275859670 | Lorant Divald | Surgery | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-12 |
| 1629214838 | New Mexico Plastic Surgeons, PC | Surgery | 1020 Tijeras Ave Ne, Ste. 16, Albuquerque, NM 87106-4749 | 2008-12-18 |
| 1467668723 | The Plastic Surgery Center, P.C. | Surgery | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4175 | 2007-05-15 |
| 1457445827 | John M Finley | Surgery | 8300 Constitution Pl Ne, Pmg Kaseman Dermatology/plastic Surgery, Albuquerque, NM 87110-7637 | 2006-10-03 |
| 1619060274 | Todd Williams, Md PC | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-10-02 |
| 1891734547 | Jean Shimanek | Surgery | 101 Hospital Lp Ne, Ste 214, Albuq, NM 87109-2128 | 2006-06-06 |
Please comment or provide details below to improve the information on ST. VINCENT HOSPITAL.
| 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.