St Vincent Hospital

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

ST VINCENT HOSPITAL

Practice address

1692 Hospital Dr BLDG a
Santa Fe, NM 87505-4754

Phone

(505) 913-3401

Fax

(505) 913-6950

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Carla L Gomez

Title

Pe Supervisor

Phone

(505) 913-5227

Specialties & licenses 1

Addresses

Other names 1

• CHRISTUS St. Vincent Center for Healthy Aging Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

St Vincent Hospital28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

• Arroyo Chamiso Pediatric Rehabilitation

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1598815151
  NPD tax ID
• Christus St Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1164801627
  NPD tax ID
• St Vincent Hospital

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1063367803
  NPD tax ID
• St Vincent Hospital

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1184558363
  NPD tax ID
• St Vincent Hospital

  • Surgery Physician
  • Santa Fe, NM
  • NPI 1740307347
  NPD tax ID
• St Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1770146391
  NPD tax ID
• St Vincent Hospital

  • Rheumatology Physician
  • Santa Fe, NM
  • NPI 1831937259
  NPD tax ID
• St Vincent Hospital

  • Anesthesiology Physician
  • Santa Fe, NM
  • NPI 1902454499
  NPD tax ID
• St Vincent Hospital

  • General Acute Care Hospital
  • Pojoaque, NM
  • NPI 1912119298
  NPD tax ID
• St. Vincent Hospital

  • Neurology Physician
  • Santa Fe, NM
  • NPI 1184083594
  NPD tax ID
• St. Vincent Hospital

  • Infectious Disease Physician
  • Santa Fe, NM
  • NPI 1215437033
  NPD tax ID
• St. Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1235256447
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E King, PA

  • Medical Physician Assistant
  • Ruidoso, NM
  • NPI 1457442691
  NPD
• Darina Linnik, PA-C

  • Physician Assistant
  • Santa Fe, NM
  • NPI 1043795909

  Single Specialty

  NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1194599712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 HOSPITAL DR BLDG A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-913-3401",
            "fax_number": "505-913-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PE SUPERVISOR",
        "authorized_official_telephone_number": "505-913-5227"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St. Vincent Center for Healthy Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Johns College Health Center
• Monique L St Marie, PT
• Sue Kalchik St Pierre, OTR/L
• St Vincent Hospital
• St Vincent Hospital
• St Vincent Hospital
• St Vincent Hospital
• St Vincent Hospital
• St Vincent Hospital
• St Vincent Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.