Provider Demographics
NPI:1225141492
Name:ERIC HASEMEIER, PLLC
Entity Type:Organization
Organization Name:ERIC HASEMEIER, PLLC
Other - Org Name:DR. HASEMEIER & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:F
Authorized Official - Last Name:HASEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:865-365-4015
Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4724
Mailing Address - Country:US
Mailing Address - Phone:720-638-0846
Mailing Address - Fax:
Practice Address - Street 1:849 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725
Practice Address - Country:US
Practice Address - Phone:423-736-0264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherTAX ID
TN6169050001Medicare NSC