DR. JEFFREY D NEIDHART (NPI# 1801972518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801972518 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY D NEIDHART |
| Credential | MD |
| Practice Address |
735 W. Animas Street Farmington NM 87401 |
| Mailing Address |
Po Box 1799 Farmington NM 87499 |
| Practice Telephone | 5055646850 |
| Practice Fax Number | 5055646890 |
| Mailing Telephone | 5055646850 |
| Mailing Fax Number | 5055646890 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2002-0176 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | T0445 | 05 | |
| NM | 38022222 | 05 | |
| AZ | 764086 | 05 | |
| NM | BLUE CROSS OF NEW MEXICO | NM019A39 | 01 |
| CO | 93002840 | 05 |
| Street Address |
735 W. ANIMAS STREET |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962799775 | Sardar Zakariya Imam | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2011-06-30 |
| 1407898208 | Farmington Missouri Hospital Company LLC | Internal Medicine | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| 1811314263 | Ritika Vankina | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-1442 | 2014-03-24 |
| 1053660225 | Sara Naureen Dost | Internal Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2012-09-04 |
| 1225383359 | Ankit Anand | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2012-07-15 |
| 1629398904 | Yueming Chang | Internal Medicine | 263 Farmington Ave, Uconn Health Center, Farmington, CT 06030-0001 | 2010-06-09 |
| 1396935136 | Biree Andemariam | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2007-07-27 |
| 1992868061 | Karen Marie Hook | Internal Medicine | 263 Farmington Ave, Division of Hematology/oncology, Farmington, CT 06030-0001 | 2006-12-19 |
| 1881770493 | James A Neidhart | Internal Medicine | 735 W Animas St, Farmington, NM 87401-5616 | 2006-10-27 |
| 1912005968 | Edward Perry | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2006-09-20 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on DR. JEFFREY D NEIDHART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.