NPIMap

Organization Active NPI

Evan H. Hirsch, M.D., Inc., P.S.

Doing business as Hirsch Holistic Family Medicine

  • Primary Care Clinic/Center
  • Olympia, WA
National Provider Identifier
1235349051
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD00046712 Issued in WA
Legal business name
EVAN H. HIRSCH, M.D., INC., P.S.
Doing business as
Hirsch Holistic Family Medicine
Practice address
3525 Ensign Rd NE
Suite N
Olympia, WA 98506-5065
Phone
(360) 464-9965
Fax
(888) 406-8040
NPI assigned
May 23, 2007
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Evan H Hirsch, M.D.
Title
President
Phone
(360) 464-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD00046712 WA Primary

Addresses

Primary practice location

3525 Ensign Rd NE
Suite N
Olympia, WA 98506-5065

Mailing address

3525 Ensign Rd NE
Suite N
Olympia, WA 98506-5065
Phone (360) 464-9965

Other names 1

  • Hirsch Holistic Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1017 4th Ave E
Ste 6
Olympia, WA 98506
Phone (888) 460-7776

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1235349051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE",
            "address_2": "SUITE N",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-464-9965",
            "fax_number": "888-406-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE",
            "address_2": "SUITE N",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-464-9965",
            "fax_number": "888-406-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN H. HIRSCH, M.D., INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-464-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00046712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hirsch Holistic Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.