Active NPI
Sage Family Health Center LTD Co
- Family Medicine Physician
- Santa Fe, NM
National Provider Identifier
1902085707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAGE FAMILY HEALTH CENTER LTD CO
- Practice address
- 2019 Galisteo St
G-3
Santa Fe, NM 87505-2143 - Phone
- (505) 984-1300
- Fax
- (505) 986-6447
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debra K Higginbotham, M.D.
- Title
- Medical Director
- Phone
- (505) 984-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2019 Galisteo St
G-3
Santa Fe, NM 87505-2143
Mailing address
2019 Galisteo St
G-3
Santa Fe, NM 87505-2143
Phone (505) 984-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM011A14 | Other | NM | BCBS |
National Provider Directory
National Provider DirectoryLocations
2019 Galisteo St
Santa Fe, NM 87505
Phone (505) 982-1910
2019 Galisteo St
Ste G3
Santa Fe, NM 87505
Phone (505) 820-1445
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1902085707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST",
"address_2": "G-3",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052143",
"telephone_number": "505-984-1300",
"fax_number": "505-986-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST",
"address_2": "G-3",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052143",
"telephone_number": "505-984-1300",
"fax_number": "505-986-6447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE FAMILY HEALTH CENTER LTD CO",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "HIGGINBOTHAM",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "505-984-1300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM011A14",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.