Spine & Pain Institute of Santa Fe, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2001169 Issued in NM

Legal business name

SPINE & PAIN INSTITUTE OF SANTA FE, LLC

Practice address

435 St. Michael's Drive
Suite a-202
Santa Fe, NM 87505-7672

Phone

(505) 983-5200

Fax

(505) 983-5202

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theresa M Genovese Elliott, MD

Title

Owner

Phone

(505) 983-5200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laura Lee Holmes, PA-C

  • Medical Physician Assistant
  • Santa Fe, NM
  • NPI 1841469301
  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1528015476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 6140",
            "city": "SANTE FE",
            "state": "NM",
            "postal_code": "875026140",
            "telephone_number": "505-983-5200",
            "fax_number": "505-983-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ST. MICHAEL'S DRIVE",
            "address_2": "SUITE A-202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057672",
            "telephone_number": "505-983-5200",
            "fax_number": "505-983-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & PAIN INSTITUTE OF SANTA FE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "GENOVESE ELLIOTT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-983-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "2001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Sperry
• Laurie Jayne Spiegel, CNP
• Christopher TJ Spier, DDS
• Lori Spillman
• Mary K Spindler, PHD, DOM, LMT
• Spine Solutions, Inc
• Spine Sports& Pain Medicine Steven Kidman MDPC
• Spring Lake Counseling LLC
• Elspeth Elaine Springsted, MBBS
• Kelsey Sprout

• Specialist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.