DR. JEFFREY W GLASSHEIM DO NPI 1174685721

NPI Information

NPI: 1174685721
Provider Name: DR. JEFFREY W GLASSHEIM, DO
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1010 LAS LOMAS RD NE
SUITE 4
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 246-8700
Get Directions

DR. Jeffrey W Glassheim, DO is an addiction medicine psychiatry neurology in Albuquerque, NM. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Jeffrey W Glassheim, DO NPI is 1174685721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 LAS LOMAS RD NE
SUITE 4
ALBUQUERQUE, NM
ZIP 87102-634
Phone: (505) 246-8700
Fax: (866) 571-9011

The NPI 1174685721 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/13/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		A-1656-12	NEW MEXICO	No
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	A-1656-12	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	76622339	MEDICAID	NEW MEXICO
2	001571483	MEDICARE PIN	WISCONSIN
3	F67086	MEDICARE UPIN
4	43522500	MEDICAID	WISCONSIN
5	000271121	MEDICARE PIN	NEW MEXICO

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: 4/28/2024

NPI Synchronization or Removal

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