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ERIC GRASSER MD LLC NPI 1255625687


NPI Information

NPI: 1255625687
Provider Name: ERIC GRASSER MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1925 ASPEN DR STE 502A
SANTA FE, NM
ZIP 87505
Phone: (505) 983-9878
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ERIC GRASSER MD LLC is a family medicine in Santa Fe, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ERIC GRASSER MD LLC NPI is 1255625687. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1925 ASPEN DR STE 502A
SANTA FE, NM
ZIP 87505-559
Phone: (505) 983-9878
Fax: (505) 629-1095

The provider's authorized official is Eric Grasser .
The authorized official title is Owner and has the following contact phone number (505) 453-3756.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 1/26/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2003-0151NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
168576358MEDICAIDNEW MEXICO
2NMAAA1077OTHERMEDICARE PTAN

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

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