DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK HENRY EBERHART, MD

Active

DR. JACK HENRY EBERHART, MD is a Otology & Neurotology healthcare provider located in FARMINGTON, New Mexico. NPI 1215969860 is currently active in the NPPES registry. Verify at CMS.

Otology & Neurotology · FARMINGTON, NM

Registration Details

NPI Number
1215969860
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2006 (20.130378724727 yrs)
Last Updated
Sep 11, 2025
Licenses
97-223 (NM)
97-223 (NM)

Practice Information

Address
2300 E 30TH ST
BLDG D-102
FARMINGTON, NM, 874018990
Browse NM providers · Browse ZIP 87401
Phone
5053274429
Fax
5053274420
Primary Specialty
Otology & Neurotology
207YX0602X
Additional Specialty
Otology & Neurotology

Other Otology & Neurotology Providers in FARMINGTON, NM

Name Credential NPI
DR. DAVID LEE WILKEY MD 1114942257
BRETT M. CLARKE MD 1851412829
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.