JACK H. EBERHART MD – NPI #1215969860
Otolaryngology
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
JACK EBERHART is an otolaryngologist located in FARMINGTON, NM. NPPES has assigned the NPI number 1215969860 to JACK EBERHART on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YX0602X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngic Allergy
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK EBERHART below.
NPI Profile for
JACK H. EBERHART
(about 20 years ago)
BLDG D-102
FARMINGTON, NM 87401-8990 Phone: (505) 327-4429 Fax: (505) 327-4420
Identifiers for JACK EBERHART
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NM | R7435 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207YX0602X - Otolaryngology / Otolaryngic Allergy (Primary) |
NM | 97-223 |
| 207YX0007X - Otolaryngology / Plastic Surgery within the Head & Neck |
NM | 97-223 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.