National Provider Identifier Database

JEFFREY D NEIDHART, MD – NPI #1801972518
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.


Contact Information

JEFFREY D NEIDHART, MD
2325 E 30TH ST
FARMINGTON, NM87401-8900
Phone: 505-564-6850
Fax: 505-564-6890
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for JEFFREY D NEIDHART

NPI Number 1801972518
Credentials MD
Entity Individual
Enumeration date 10/27/2006
Last updated 06/24/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 2002-0176
  • AZ Medicaid: 764086
  • CO Medicaid: 93002840
  • NM Medicaid: 38022222
  • UT Medicaid: T0445
  • NM Other: NM019A39 BLUE CROSS OF NEW MEXICO
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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