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OMNISLEEP LLC NPI 1508093469


NPI Information

NPI: 1508093469
Provider Name: OMNISLEEP LLC
Classification: Family Medicine - 207QS1201X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
3810 MASTHEAD ST NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 843-8758
Get Directions

OMNISLEEP LLC is a sleep medicine family medicine in Albuquerque, NM. The provider is a Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. OMNISLEEP LLC NPI is 1508093469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3810 MASTHEAD ST NE
ALBUQUERQUE, NM
ZIP 87109-479
Phone: (505) 843-8758
Fax: (505) 843-9269

The provider's authorized official is John Craig Eaves .
The authorized official title is Ceo and has the following contact phone number (505) 843-8758.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 12/11/2018.


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 MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207QB0002XFamily MedicineObesity MedicineNo
4207R00000XInternal MedicineNo
5207RB0002XInternal MedicineObesity MedicineNo
6207RS0012XInternal MedicineSleep MedicineNo
72084N0400XPsychiatry & NeurologyNeurologyNo
8208D00000XGeneral PracticeNo
9207QS1201XFamily MedicineSleep MedicineYes

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
195877321MEDICAIDNEW MEXICO
281323395MEDICAIDNEW 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

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