Individual provider Active NPI

Thomas Elliot Hersch, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1093027203
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1401 Robert B Miller Jr Rd
165 MDG, BLDG 301
Savannah, GA 31408-9001
Phone
(912) 966-8531
Fax
(912) 966-8593
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X GA Primary

Addresses

Primary practice location

1401 Robert B Miller Jr Rd
165 MDG, BLDG 301
Savannah, GA 31408-9001

Mailing address

1401 Robert B Miller Jr Rd
165 MDG, BLDG 301
Savannah, GA 31408-9001
Phone (912) 966-8531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1093027203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROBERT B MILLER JR RD",
            "address_2": "165 MDG, BLDG 301",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314089001",
            "telephone_number": "912-966-8531",
            "fax_number": "912-966-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROBERT B MILLER JR RD",
            "address_2": "165 MDG, BLDG 301",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314089001",
            "telephone_number": "912-966-8531",
            "fax_number": "912-966-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCH",
        "first_name": "THOMAS",
        "middle_name": "ELLIOT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.