Jack Henry Eberhart, MD

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

97-223 Issued in NM

Practice address

2300 E 30TH St
BLDG D-102
Farmington, NM 87401-8990

Phone

(505) 327-4429

Fax

(505) 327-4420

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinon Hills Ear Nose and Throat Associates PA

  • Otolaryngic Allergy Physician
  • Farmington, NM
  • NPI 1821020363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215969860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST",
            "address_2": "BLDG D-102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-4429",
            "fax_number": "505-327-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST",
            "address_2": "BLDG D-102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-4429",
            "fax_number": "505-327-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "JACK",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NM",
            "license": "97-223",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NM",
            "license": "97-223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R7435",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earthworthy Compassionate Care
• Heather Carolyne Eash
• Adrian Carl Eaton, PSR CLASSROOM INST.
• Eberhart Home Health Inc
• Eberhart Sleep Diagnostics Inc
• Danette Eddleman, RDH
• Pamela Beth Edwards
• Richard Michael Edwards, D.C.
• Donatus M. Egbonim, MD
• Ehc Farmington LLC

• Otolaryngology Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Otolaryngology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.