| Lovelace Health System Llc | |
|
460 Saint Michaels Dr Ste 505 Santa Fe NM 87505-7622 | |
| (505) 727-4420 | |
| (505) 727-9420 |
| Full Name | Lovelace Health System Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 460 Saint Michaels Dr Ste 505, Santa Fe, New Mexico |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP AND SECRETARY) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovelace Health System Llc 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3000 | Lovelace Health System Llc 460 Saint Michaels Dr Ste 505 Santa Fe NM 87505-7622 Ph: (505) 727-4420 |
| NPI Number | 1245798024 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 9739099326 |
|---|---|
| Medicare Enrollment ID | O20031210000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245798024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hamid Feroze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568425395 PECOS PAC ID: 2769461847 Enrollment ID: I20040714000747 |
| Provider Name | Timothy J Hurley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942236179 PECOS PAC ID: 7719964972 Enrollment ID: I20040723000043 |
| Provider Name | Stanislav Belyaev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659368207 PECOS PAC ID: 3274500129 Enrollment ID: I20040911000029 |
| Provider Name | Julie Farrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720172190 PECOS PAC ID: 8325004500 Enrollment ID: I20041209000095 |
| Provider Name | Sean P Mazer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821025545 PECOS PAC ID: 3971507534 Enrollment ID: I20060913000217 |
| Provider Name | Carol E Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962478412 PECOS PAC ID: 3375545940 Enrollment ID: I20070210000068 |
| Provider Name | Kristi Valdez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508820747 PECOS PAC ID: 1759357932 Enrollment ID: I20070309000193 |
| Provider Name | Debra L Winkeljohn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619164589 PECOS PAC ID: 4082702378 Enrollment ID: I20071120000627 |
| Provider Name | Valerie J Rappaport |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447265913 PECOS PAC ID: 7810087269 Enrollment ID: I20071221000260 |
| Provider Name | Karen S Sopko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063551075 PECOS PAC ID: 8729164199 Enrollment ID: I20080326000010 |
| Provider Name | Geoffrey D Steffens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003803511 PECOS PAC ID: 3971594847 Enrollment ID: I20080602000362 |
| Provider Name | Calvin A Ridgeway |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184718579 PECOS PAC ID: 5799833059 Enrollment ID: I20090427000165 |
| Provider Name | Naishadh A Mankad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598733859 PECOS PAC ID: 8224189436 Enrollment ID: I20090630000101 |
| Provider Name | Mel Angel Peralta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598804593 PECOS PAC ID: 7911050893 Enrollment ID: I20090727000174 |
| Provider Name | Michaela Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356595250 PECOS PAC ID: 1052466745 Enrollment ID: I20090901000711 |
| Provider Name | Mario J Leyba |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689876013 PECOS PAC ID: 1456497932 Enrollment ID: I20091014000432 |
| Provider Name | Malcolm Purdy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679535827 PECOS PAC ID: 6800979188 Enrollment ID: I20100114000257 |
| Provider Name | Patricia L Sanchez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699738120 PECOS PAC ID: 0547160657 Enrollment ID: I20100115000145 |
| Provider Name | Sharon M Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144205659 PECOS PAC ID: 7911936620 Enrollment ID: I20100204000844 |
| Provider Name | Clevius A Curry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487989927 PECOS PAC ID: 2860450004 Enrollment ID: I20100302000262 |
| Provider Name | Peter L Jewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679779052 PECOS PAC ID: 0446435663 Enrollment ID: I20110503000066 |
| Provider Name | Patricia A Costales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619131455 PECOS PAC ID: 5890965941 Enrollment ID: I20110826000455 |
| Provider Name | Steffen A Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982725396 PECOS PAC ID: 6406027598 Enrollment ID: I20110921000650 |
| Provider Name | Ellen Mozurkewich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780771535 PECOS PAC ID: 5092842468 Enrollment ID: I20120113000619 |
| Provider Name | Kim S Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356674519 PECOS PAC ID: 2961393046 Enrollment ID: I20120629000275 |
| Provider Name | Glenn Vogelsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538245642 PECOS PAC ID: 6103811302 Enrollment ID: I20121003000897 |
| Provider Name | Justin Richard White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538307897 PECOS PAC ID: 1456503218 Enrollment ID: I20130823000705 |
| Provider Name | Randolph Phillip Baca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790982643 PECOS PAC ID: 9931335320 Enrollment ID: I20131114000150 |
| Provider Name | Theresa A Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528491966 PECOS PAC ID: 9335378801 Enrollment ID: I20140203000315 |
| Provider Name | Rebecca L Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679680623 PECOS PAC ID: 6507947462 Enrollment ID: I20140425000739 |
| Provider Name | Jeffrey M Mazer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598982910 PECOS PAC ID: 6002967072 Enrollment ID: I20140912000455 |
| Provider Name | Andrea M Eschen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346559432 PECOS PAC ID: 6608061395 Enrollment ID: I20151020001619 |
| Provider Name | Munif H Alkouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366672826 PECOS PAC ID: 3577873199 Enrollment ID: I20151112000134 |
| Provider Name | Hien Kiem Tran |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952787350 PECOS PAC ID: 3072816644 Enrollment ID: I20160115000235 |
| Provider Name | Mark Bryniarski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528063161 PECOS PAC ID: 6608818646 Enrollment ID: I20160316002530 |
| Provider Name | Wilson Nicolas Otero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992925051 PECOS PAC ID: 4688779325 Enrollment ID: I20160517000557 |
| Provider Name | Mridula Rai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851619894 PECOS PAC ID: 1355652496 Enrollment ID: I20160713002026 |
| Provider Name | Katheryne A Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376884759 PECOS PAC ID: 1052557956 Enrollment ID: I20161202000612 |
| Provider Name | Danielle Esters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780643346 PECOS PAC ID: 5698747848 Enrollment ID: I20170323000649 |
| Provider Name | Yubao Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306942644 PECOS PAC ID: 7315012879 Enrollment ID: I20170525002429 |
| Provider Name | Enoch E Agunanne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679576565 PECOS PAC ID: 5193639581 Enrollment ID: I20170712000693 |
| Provider Name | Diana L Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720262652 PECOS PAC ID: 4688745151 Enrollment ID: I20171211002856 |
| Provider Name | Catherine Elizabeth Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403589 PECOS PAC ID: 6103186788 Enrollment ID: I20180130000454 |
| Provider Name | Mahendra M Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801849997 PECOS PAC ID: 3971493370 Enrollment ID: I20180312001381 |
| Provider Name | Paul A Brittain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184980989 PECOS PAC ID: 7911133020 Enrollment ID: I20180730003172 |
| Provider Name | Joses A Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578855656 PECOS PAC ID: 2567613144 Enrollment ID: I20180830002611 |
| Provider Name | Dominique Pummill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364249 PECOS PAC ID: 2062756257 Enrollment ID: I20181128002386 |
| Provider Name | Paul R Torres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871668269 PECOS PAC ID: 6709044969 Enrollment ID: I20200113001169 |
| Provider Name | Elizabeth S Garchar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801259973 PECOS PAC ID: 0446543607 Enrollment ID: I20201019000072 |
| Provider Name | Bruce Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071153 PECOS PAC ID: 9133538739 Enrollment ID: I20210603002444 |
| Provider Name | Katrina Carol Dowdy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255112686 PECOS PAC ID: 0648626812 Enrollment ID: I20231024002329 |
| Provider Name | Maribel Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477232528 PECOS PAC ID: 6406203009 Enrollment ID: I20231102004040 |
| Provider Name | Jennifer Lynn Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679348379 PECOS PAC ID: 2668817024 Enrollment ID: I20240226002671 |
Teen Health Center Santa Fe High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Yucca St, Santa Fe High School, Santa Fe, NM 87505 Phone: 505-467-2439 Fax: 505-467-2989 | |
Merritt Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530a Harkle Rd, Santa Fe, NM 87505 Phone: 512-495-9015 | |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Camino Entrada After Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2590 Camino Entrada, Santa Fe, NM 87507 Phone: 505-913-3300 Fax: 505-913-3301 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |
Teen Health Centers Capital High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4851 Paseo Del Sol, Santa Fe, NM 87507 Phone: 505-467-1081 Fax: 505-954-1180 |