NPIMap

Individual provider Active NPI

Jonathon Michael Hirsch, MPAS

  • Physician Assistant
  • Novi, MI
National Provider Identifier
1154949907
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011644 Issued in MI
Practice address
26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone
(248) 465-5140
Fax
(248) 465-5141
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601011644 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256

Mailing address

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone (248) 465-5140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000532 MI Practitioner - Physician Assistant 4688081854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Macomb Oakland Hospital 155 clinicians
Henry Ford Health Providence Hospital 364 clinicians
Select Rehabilitation, LLC 1,935 clinicians

Practice addresses (Care Compare)

11900 E 12 Mile Rd
308 Amg Cardiothoracic Surgical Associa
Warren, MI 48093-3491
Phone (248) 849-2600

1225 S Latson Rd
Howell, MI 48843-7643

1400 Genesys Pkwy
B136
Grand Blanc, MI 48439-8068
Phone (810) 606-7629

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

2600 Compass Rd
Glenview, IL 60026-8001

26850 Providence Pkwy
Novi, MI 48374-1213
Phone (248) 347-2435

26850 Providence Pkwy
Suite 260
Novi, MI 48374-1256
Phone (248) 465-5140

27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326

47601 Grand River Ave
Novi, MI 48374-1233

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jun 26, 2023 Accepting new patients
Henry Ford Health Providence Hospital Single Specialty CurrentSince Jun 26, 2023 Accepting new patients
Henry Ford Health Providence Hospital Single Specialty CurrentSince Jun 26, 2023 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Single Specialty CurrentSince Jun 26, 2023 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140

1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

11900 E 12 Mile Rd
Ste 300
Warren, MI 48093
Phone (586) 751-1515

Interoperability endpoints

  • Direct secure messaging: jhirsch1062057@direct.hfhs.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1154949907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741256",
            "telephone_number": "248-465-5140",
            "fax_number": "248-465-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741256",
            "telephone_number": "248-465-5140",
            "fax_number": "248-465-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "JONATHON",
        "middle_name": "MICHAEL",
        "credential": "MPAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.