St. Vincent Hospital

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. VINCENT HOSPITAL

Practice address

1213 Gusdorf Road
Taos, NM 87571

Phone

(505) 913-3490

Fax

(505) 913-3498

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Joseph Alex Valdez

Title

Ceo/President

Phone

(505) 913-5201

Specialties & licenses 1

Addresses

Other names 1

• CHRISTUS St. Vincent Health Specialists-Taos Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Mordechai J. Bronner, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Eugene, OR
  • NPI 1780959973
  NPD

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1265790216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GUSDORF ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-913-3490",
            "fax_number": "505-913-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GUSDORF ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-913-3490",
            "fax_number": "505-913-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "505-913-5201"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St. Vincent Health Specialists-Taos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicky L Sparks Freeman, MT ASPC CLS NCA
• Richard Spas, LSAA
• Jennifer Lee Spillar, LPN
• Matthew Paul Spittler, DO
• Adam Nicklaus Spring, MD
• Desiree Stacey
• Star Rising Therapy LLC
• Bridget Suzanne Steed, LMCH
• Marc Henry Steinberg, MD
• Stephanie Gutz, Inc.

• Surgery Physician in Taos, NM
• Providers in Taos, 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 May 21, 2012; 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.