St. Vincent Hospital

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ST. VINCENT HOSPITAL

Practice address

2590 Camino Entrada
Santa Fe, NM 87507-4876

Phone

(505) 946-3233

Fax

(505) 946-3234

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 1

Addresses

Other identifiers 1

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.

• Cecilia L Concepcion, MD

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1245230135

  Pediatrics

  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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18402020",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Camino Entrada Pediatrics",
            "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
• Shona Stack, RN
• Uli E Stack
• Savannah L Stadelmaier, DDS

• All providers in Santa Fe, NM
• 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.