Organization Active NPI

Galisteo OB-GYN Women's Health LLC

  • Obstetrics & Gynecology Physician
  • Santa Fe, NM
National Provider Identifier
1376731877
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
81345 Issued in NM
Legal business name
GALISTEO OB-GYN WOMEN'S HEALTH LLC
Practice address
1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780
Phone
(505) 984-2300
Fax
(505) 988-1940
NPI assigned
Oct 9, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Brian Summers, MBA
Title
Practice Manager
Phone
(505) 992-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 81345 NM Primary

Addresses

Primary practice location

1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780

Mailing address

1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780
Phone (505) 984-2300

Other identifiers 1

IdentifierTypeStateIssuer
46813MedicaidNM

National Provider Directory

National Provider Directory

Locations

1650 Hospital Dr
Ste 400
Santa Fe, NM 87505
Phone (505) 984-2300

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1376731877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALISTEO OB-GYN WOMEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "505-992-3290",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "81345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46813",
            "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 Oct 10, 2007; 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.