Individual provider Active NPI

Daniel Louis Hiersche, M.D.

  • Specialist
  • Ellensburg, WA
National Provider Identifier
1043297187
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00022370 Issued in WA
Practice address
700 E Manitoba Ave
Suite 106
Ellensburg, WA 98926-3885
Phone
(509) 962-6727
Fax
(509) 962-1994
NPI assigned
Dec 29, 2005
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00022370 WA Primary

Addresses

Primary practice location

700 E Manitoba Ave
Suite 106
Ellensburg, WA 98926-3885

Mailing address

5124 Naneum Rd
Ellensburg, WA 98926-6959
Phone (509) 925-2663

Other identifiers 2

IdentifierTypeStateIssuer
157669OtherWALABOR & INDUSTRIES
1115476MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000586 WA Practitioner - Orthopedic Surgery 4688565666 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital District No. 3 CurrentSince Feb 14, 2019 Accepting new patients
Okanogan County Public Hospital District No. 3 Current Accepting new patients

Locations

529 Jasmine St
Omak, WA 98841
Phone (509) 826-1600

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

Interoperability endpoints

  • Direct secure messaging: hiersched@mvhealth.cernerdirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1043297187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 NANEUM RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989266959",
            "telephone_number": "509-925-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MANITOBA AVE",
            "address_2": "SUITE 106",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263885",
            "telephone_number": "509-962-6727",
            "fax_number": "509-962-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERSCHE",
        "first_name": "DANIEL",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00022370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "157669",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.