St. Christopher Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

03079971006 Issued in NM

Legal business name

ST. CHRISTOPHER INC

Practice address

2800 San Mateo Blvd NE
Suite 107
Albuquerque, NM 87110-3135

Phone

(505) 821-1146

Fax

(505) 843-9234

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter K Tiernan, M.D.

Title

President

Phone

(505) 821-1146

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Leslie Jade Archuleta, MD

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
  • NPI 1568869345
  NPD (past)
• Valerie S Tausch, MD

  • Allergy & Immunology Physician
  • Albuquerque, NM
  • NPI 1285826867
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282348800000",
    "number": "1356405369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SAN MATEO BLVD NE",
            "address_2": "SUITE 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103135",
            "telephone_number": "505-821-1146",
            "fax_number": "505-843-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SAN MATEO BLVD NE",
            "address_2": "SUITE 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103135",
            "telephone_number": "505-821-1146",
            "fax_number": "505-843-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHRISTOPHER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-08-21",
        "status": "A",
        "authorized_official_last_name": "TIERNAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-821-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "03079971006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; 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.