Physicians Medical Center of Santa Fe, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PHYSICIANS MEDICAL CENTER OF SANTA FE, LLC

Practice address

2990 Rodeo Park Dr East
Santa Fe, NM 87505-6351

Phone

(505) 428-5400

Fax

(505) 428-5380

NPI assigned

Dec 21, 2006

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Wittwer

Title

Chief Financial Officer

Phone

(505) 428-5400

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1427112473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 RODEO PARK DR EAST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056351",
            "telephone_number": "505-428-5400",
            "fax_number": "505-428-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RODEO PARK DR EAST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056351",
            "telephone_number": "505-428-5400",
            "fax_number": "505-428-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER OF SANTA FE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "WITTWER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-428-5400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2771340",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "NM000092",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001878",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Sue Phillips, CNP
• Janet M. Phillips, RN
• Nancy Phillips, DN
• William Cliff Phillips, HAD
• Phyllis Nadine Gonzales (Universal Chiropractic Dr. P.Nadine Gonzales, LLC)
• Physicians Plaza Surgery Center, LLC
• Physiotherapy New Mexico LLC
• Maira Pichardo
• Clarice K Pick, D.D.S.
• Melissa Pickett, MA LPCC

• General Acute Care Hospital in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• General Acute Care Hospital in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.