St. Vincent Hospital

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. VINCENT HOSPITAL

Doing business as

CHRISTUS St Vincent Breast Institute

Practice address

490A W Zia Rd Ste 200
Santa Fe, NM 87505-7007

Phone

(505) 913-3101

Fax

(505) 913-3102

NPI assigned

Jun 2, 2009

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lillian Montoya

Title

Ceo

Phone

(505) 913-5202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHRISTUS St Vincent Breast Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Physicians Plaza Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Santa Fe, NM
  • NPI 1619040268

  Member Of

  NPD member
• Santa Fe Imaging LLC

  • Clinic/Center
  • Santa Fe, NM
  • NPI 1013937408

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rick Gehlert, MD

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1316952864
  NPD
• Leroy Rise, MD

  • Orthopaedic Surgery Physician
  • Santa Fe, NM
  • NPI 1962697177
  NPD
• Philip Y Smucker, MD

  • Neurological Surgery Physician
  • Santa Fe, NM
  • NPI 1255508461
  NPD
• Maria de la Luz Nicole Webb, MSN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1093115271
  NPD
• Julie Ann Wesp, M.D.

  • Surgery Physician
  • Santa Fe, NM
  • NPI 1154613248
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1184850398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD STE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057007",
            "telephone_number": "505-913-3101",
            "fax_number": "505-913-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD STE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057007",
            "telephone_number": "505-913-3101",
            "fax_number": "505-913-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-913-5202"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20521821",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St Vincent Breast Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS St Vincent Breast Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anabella St. Peter
• St. Vincent Hospital (Camino Entrada After Hours Clinic)
• St. Vincent Hospital (CHRISTUS St. Vincent Entrada Health Center)
• St. Vincent Hospital (CHRISTUS St. Vincent Regional Medical Center)
• St. Vincent Hospital (CHRISTUS St. Vincent Neurology Specialists)
• St. Vincent Hospital (St Vincent Hospital Orthopaedic Group)
• St. Vincent Hospital (CHRISTUS St. Vincent Infectious Disease)
• St. Vincent Hospital (Pojoaque Primary Care)
• St. Vincent Hospital (CHRISTUS St. Vincent Adult and Family Care)
• St. Vincent Hospital (St. Vincent Regional Spine Center)

• Surgery Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.