St. Vincent Hospital

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ST. VINCENT HOSPITAL

Doing business as

CHRISTUS St. Vincent Urology Associates

Practice address

1630 Hospital Dr Ste D
Santa Fe, NM 87505-4772

Phone

(505) 982-3534

Fax

(505) 982-8458

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Joseph Alex Valdez

Title

Ceo/President

Phone

(505) 913-5201

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHRISTUS St. Vincent Urology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Sann Gossum, MD

  • Orthopaedic Surgery Physician
  • Santa Fe, NM
  • NPI 1417904590
  NPD
• Kira Macdougall, MD.

  • Medical Oncology Physician
  • Santa Fe, NM
  • NPI 1770072001
  NPD
• Savannah Marie Padilla

  • Physician Assistant
  • Santa Fe, NM
  • NPI 1285310359
  NPD
• Stephanie April Kleven, ARNP, CNM

  • Advanced Practice Midwife
  • Greenbrae, CA
  • NPI 1457775041
  NPD

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1851684567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "PHYSICIAN PRACTICES",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-982-3534",
            "fax_number": "505-982-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 HOSPITAL DR STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054772",
            "telephone_number": "505-982-3534",
            "fax_number": "505-982-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSEPH ALEX",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "505-913-5201"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15230724",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St. Vincent Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Vincent Hospital (Outpatient Behavioral Clinic)
• St. Vincent Hospital (CHRISTUS St. Vincent Palliative Care)
• St. Vincent Hospital (CHRISTUS St. Vincent Heart and Vascular Center)
• St. Vincent Hospital (CHRISTUS St. Vincent Behavioral Health Specialists)
• St. Vincent Hospital (Santa Fe Brain & Spine Associates)
• St. Vincent Hospital (CHRISTUS St. Vincent Surgicalist Group)
• St. Vincent Hospital (CHRISTUS St. Vincent Radiation)
• St. Vincent Hospital (CHRISTUS St. Vincent Entrada Contenta Health Center)
• St. Vincent Hospital (CHRISTUS St. Vincent Integrative Medicine)
• St. Vincent Hospital (St Vincent Camino Entrada Pediatrics)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.