NPIMap

Organization Active NPI

Eye Surgery Centers of New Mexico, LLC

Doing business as Surgery Center of Santa Fe

  • Ambulatory Surgical Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1255373676
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
3076 Issued in NM
Legal business name
EYE SURGERY CENTERS OF NEW MEXICO, LLC
Doing business as
Surgery Center of Santa Fe
Practice address
2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone
(505) 474-9880
Fax
(505) 474-9881
NPI assigned
Jun 11, 2006
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Mrs. Janice E. Young
Title
Cfo
Phone
(505) 246-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 3076 NM Primary

Addresses

Primary practice location

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303

Mailing address

PO Box 90550
Albuquerque, NM 87199-0550
Phone (505) 768-1333

Other identifiers 3

IdentifierTypeStateIssuer
75955717MedicaidNM
490005504OtherNMRRB MEDICARE RAILROAD
NM00SS85OtherNMBCBSNM

Other names 1

  • Surgery Center of Santa Fe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100813000051 NM Part B Supplier - Ambulatory Surgical Center 2365576311 Practice locations: Santa Fe, NM

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgery Center of Sante FeCCN 32C0001110
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1255373676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90550",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990550",
            "telephone_number": "505-768-1333",
            "fax_number": "505-244-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 RODEO PARK DR E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056303",
            "telephone_number": "505-474-9880",
            "fax_number": "505-474-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTERS OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-246-2622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NM",
            "license": "3076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75955717",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB MEDICARE RAILROAD",
            "identifier": "490005504",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNM",
            "identifier": "NM00SS85",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Santa Fe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.