Herbert Koffler, M.D.
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Placitas, NM
NPI 1184048142 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1184048142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- 74-189 (NM)
- Practice address
- 41 Agua Sarca Rd
Placitas, NM 87043-9405 - Phone
- (505) 867-5253
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74-189 | NM | MD | Neonatal-Perinatal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 74-189 | NM | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 74-189 | NM | Yes |
Addresses
Primary practice location
41 Agua Sarca Rd
Placitas, NM 87043-9405
Mailing address
41 Agua Sarca Rd
Placitas, NM 87043-9405
Phone (505) 867-5253
Other providers in Placitas, NM
- Sally Rae Goble
- Robert Hinman
- Nadine Marie Hober
- Integrity Orthotics and Prosthetics LLC
- Annette Jacks
- Kristin Kotkowski
- Patrick Andrew Laughlin
- Lauri Lineweaver
- David Lisak
- Collin Lynch
All providers in Placitas, NM · Neonatal-Perinatal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.