Provider Type Icon

SPINE & PAIN INSTITUTE OF SANTA FE LLC NPI 1528015476


NPI Information

NPI: 1528015476
Provider Name: SPINE & PAIN INSTITUTE OF SANTA FE, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 32D2019608

Address:
435 ST. MICHAEL'S DRIVE
SUITE A-202
SANTA FE, NM
ZIP 87505
Phone: (505) 983-5200
Get Directions

SPINE & PAIN INSTITUTE OF SANTA FE, LLC is a specialist in Santa Fe, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPINE & PAIN INSTITUTE OF SANTA FE, LLC NPI is 1528015476. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

435 ST. MICHAEL'S DRIVE
SUITE A-202
SANTA FE, NM
ZIP 87505-672
Phone: (505) 983-5200
Fax: (505) 983-5202

The provider's authorized official is Theresa M Genovese Elliott .
The authorized official title is Owner and has the following contact phone number (505) 983-5200.

The CLIA number assigned to this NPI record is 32D2019608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 6/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist2001169NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.