Hyperbaric Medical Center of New Mexico Inc

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

97382 Issued in NM

Legal business name

HYPERBARIC MEDICAL CENTER OF NEW MEXICO INC

Practice address

404 Brunn School Rd
Ste D E
Santa Fe, NM 87505-1102

Phone

(505) 955-8560

Fax

(505) 989-1587

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gail Fiverson

Title

Office Manager

Phone

(505) 955-8560

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• hmcnm Other name

Locations

Practitioners 1

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

• Kenneth Paul Stoller, MD

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Taos, NM
  • NPI 1063518967

  Undersea and Hyperbaric Medicine

  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1902009756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD",
            "address_2": "STE D E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051102",
            "telephone_number": "505-955-8560",
            "fax_number": "505-989-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD",
            "address_2": "STE D E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051102",
            "telephone_number": "505-955-8560",
            "fax_number": "505-989-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERBARIC MEDICAL CENTER OF NEW MEXICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "FIVERSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-955-8560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NM",
            "license": "97382",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "97382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44875827",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hmcnm",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Huston, LMSW
• Drew Richard Hutchinson, M.A, MFT
• Hwy Clinical Laboratory Services
• Catherine V Hyde, LCSW
• Kelly L Hyde, PHD, LPCC, CHT, BCPC
• Epaminondas Panayiotis Iacovou, PT
• Arianna Ibarra
• Margarita Ibarra
• Michael Thomas Ibarra
• Laura Iboa

• All providers in Santa Fe, NM
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.