St. Vincent Hospital

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ST. VINCENT HOSPITAL

Doing business as

Neurosurgical Associates of Santa Fe

Practice address

531 Harkle Rd
Suite D
Santa Fe, NM 87505-4753

Phone

(505) 988-3233

Fax

(505) 988-3562

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

J Alex Valdez

Title

Ceo President

Phone

(505) 820-5227

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Neurosurgical Associates of Santa Fe Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1548387723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-820-5227",
            "fax_number": "505-820-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-988-3233",
            "fax_number": "505-988-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "505-820-5227"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45690",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgical Associates of Santa Fe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital
• St. Vincent Hospital

• Neurological Surgery Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Neurological Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.