Galisteo Advanced Gynecology LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

82295 Issued in NM

Legal business name

GALISTEO ADVANCED GYNECOLOGY LLC

Practice address

1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780

Phone

(505) 984-2300

Fax

(505) 988-1940

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Brian Summers, MBA

Title

Practice Manager

Phone

(505) 992-3290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1235327784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALISTEO ADVANCED GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "505-992-3290",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "82295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46813",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brenda Galindo Jimenez
• Galisteo OB-GYN Women'S Health LLC
• Galisteo OB/GYN
• Michaela C Gallagher-Gonzales, PA-C
• Cathleen Sybil Gallagher, RN LISW
• David Gallagher, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.