Synergy Wellness Center LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

307 Issued in NM

Legal business name

SYNERGY WELLNESS CENTER LLC

Practice address

3600 Rodeo LN
5B
Santa Fe, NM 87507-6400

Phone

(505) 292-9700

Fax

(505) 867-2566

NPI assigned

Oct 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Isabel Gerstner, DPM MS

Title

Physician

Phone

(505) 292-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• High desert Family Foot Care Doing business as

Locations

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1982930160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RODEO LANE",
            "address_2": "5B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075801",
            "telephone_number": "505-292-9700",
            "fax_number": "505-867-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN",
            "address_2": "5B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076400",
            "telephone_number": "505-292-9700",
            "fax_number": "505-867-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "GERSTNER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-292-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM MS"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NM",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10007865",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High desert Family Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ruth Sweeney, PHARM TECH
• Cori Lyn Sweet, RD, LD
• Charles Joseph Swierkosz, M.A.
• Matthew E Swift, RPH , PHC
• Sylvan Counseling LLC
• Sze Kim Pang LLC
• Thaddeus Fu-Cheng Sze, MD
• William Matias Szumigala, B.S PSYCHOLOGY
• Paul A. Tachau, O.D.
• Felice Tacktill

• Primary Podiatric Medicine Podiatrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Primary Podiatric Medicine Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.