St. Vincent Hospital

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ST. VINCENT HOSPITAL

Doing business as

St Vincent Camino Entrada Pediatrics

Practice address

2590 Camino Entrada
Santa Fe, NM 87507-4876

Phone

(505) 946-3233

Fax

(505) 946-3234

NPI assigned

Mar 23, 2007

Last updated

Feb 12, 2010By the provider in NPPES

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 1

Addresses

Other names 1

• St Vincent Camino Entrada Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

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.

• Cecilia L Concepcion, MD

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1245230135
  NPD
• Marci J Crawford, CNP

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1750309399
  NPD
• Michael S Cahill, M.D.

  • Interventional Cardiology Physician
  • Fort Bliss, TX
  • NPI 1952392458
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1972620102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074876",
            "telephone_number": "505-946-3233",
            "fax_number": "505-946-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074876",
            "telephone_number": "505-946-3233",
            "fax_number": "505-946-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-02-12",
        "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": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Camino Entrada Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Vincent Hospital (CHRISTUS St. Vincent Urology 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 (CHRISTUS St. Vincent Dermatology Specialists)
• St. Vincent Hospital (CHRISTUS St. Vincent Neurology Diagnostic Services)
• Shona Stack, RN
• Uli E Stack
• Savannah L Stadelmaier, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.