Active NPI
Gale V Santa Maria, MD
- Obstetrics & Gynecology Physician
- Vail, CO
National Provider Identifier
1295722098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 43683
- Practice address
- 108 S Frontage Rd W
Suite 101
Vail, CO 81657-5053 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 43683 | CO | Primary |
Addresses
Primary practice location
108 S Frontage Rd W
Suite 101
Vail, CO 81657-5053
Mailing address
PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97934755 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43683 | CO | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OBGYN Specialists of the Palm Beaches PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Colorado Mountain Medical, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Avon, CO
- NPI 1730747445
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- West Palm Beach, FL
- NPI 1326066267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1295722098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4330",
"city": "AVON",
"state": "CO",
"postal_code": "816204330",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S FRONTAGE RD W",
"address_2": "SUITE 101",
"city": "VAIL",
"state": "CO",
"postal_code": "816575053",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTA MARIA",
"first_name": "GALE",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "43683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97934755",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.