Philip Y Smucker, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD2008-0116 Issued in NM

Practice address

465 Saint Michaels Dr
Suite 107
Santa Fe, NM 87505-7670

Phone

(505) 988-3233

Fax

(505) 946-4261

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Indiana Medical College, School of Medicine of Purdue University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
• Los Alamos Medical Center Hospital, Los Alamos, NM, CCN 320033
• Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psmucker164700@christushealth.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Vincent Hospital

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1063367803

  NM

  Medicare reassignment Care Compare group
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare group NPD
• St. Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1245438647
  Care Compare group NPD
• St Vincent Hospital

  • Community/Retail Pharmacy
  • Santa Fe, NM
  • NPI 1144689514
  Care Compare group
• St Vincent Hospital

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Santa Fe, NM
  • NPI 1508403528
  Care Compare group
• St. Vincent Hospital

  • Psychiatric Hospital Unit
  • Santa Fe, NM
  • NPI 1154477941
  Care Compare group
• St. Vincent Hospital

  • Specialty Pharmacy
  • Santa Fe, NM
  • NPI 1366980427
  Care Compare group
• St. Vincent Hospital

  • Rehabilitation Hospital Unit
  • Santa Fe, NM
  • NPI 1619290111
  Care Compare group
• St. Vincent Hospital

  • Neurology Physician
  • Santa Fe, NM
  • NPI 1831493584
  Care Compare group
• St. Vincent Hospital

  • Surgery Physician
  • Santa Fe, NM
  • NPI 1184850398
  NPD
• St. Vincent Hospital

  • Hospitalist Physician
  • Santa Fe, NM
  • NPI 1336347731
  NPD
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Los Alamos Inc

  • Rural Acute Care Hospital
  • Los Alamos, NM
  • NPI 1285701623

  Hospital

  Care Compare affiliation
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150

  Hospital

  Care Compare affiliation
• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958

  Hospital

  Care Compare affiliation
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1255508461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-820-5227",
            "fax_number": "505-820-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 107",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-988-3233",
            "fax_number": "505-946-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUCKER",
        "first_name": "PHILIP",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "MD2008-0116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia T Smithberger, RPH
• Judith R Smitheran, S.T.
• Smiths Food & Drug Centers Inc
• Smiths Food & Drug Centers Inc
• Bret Arthur Smoker, M.D.
• Cody Snyder
• David A Snyder, MD
• Frank Cameron Snyder, AA
• Debra Beth Snyderman, LISW
• Tamara Soal, MA, LPCC

• All providers in Santa Fe, NM
• Neurological Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.