Organization Active NPI

Santa Fe Cardiology PC

  • Cardiovascular Disease Physician
  • Santa Fe, NM
National Provider Identifier
1346476173
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD2006-0177 Issued in NM
Legal business name
SANTA FE CARDIOLOGY PC
Practice address
465 Saint Michaels Dr
Suite 117
Santa Fe, NM 87505-7670
Phone
(505) 992-2600
Fax
(505) 878-1441
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Marcellin Simard, M.D.
Title
Owner
Phone
(505) 992-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD2006-0177 NM Primary

Addresses

Primary practice location

465 Saint Michaels Dr
Suite 117
Santa Fe, NM 87505-7670

Mailing address

465 Saint Michaels Dr
Suite 117
Santa Fe, NM 87505-7670
Phone (505) 992-2600

Other identifiers 1

IdentifierTypeStateIssuer
1881627479OtherNMMEDICARE INDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1650 Hospital Dr
Ste 600
Santa Fe, NM 87505

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1346476173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 117",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-992-2600",
            "fax_number": "505-878-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 117",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-992-2600",
            "fax_number": "505-878-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "SIMARD",
        "authorized_official_first_name": "MARCELLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-992-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2006-0177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1881627479",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 8, 2009; 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.