Active NPI
Stephen Hirshorn, MD
- Surgery Physician
- Tampa, FL
National Provider Identifier
1245322197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME19455
- Practice address
- 7171 N Dale Mabry Hwy
Tampa, FL 33614-2630 - Phone
- (352) 867-8898
- Fax
- (352) 732-6282
- NPI assigned
- Sep 29, 2006
- Last updated
- Aug 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME19455 | FL | |
| Surgery Physician | 208600000X | ME19455 | FL | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Tampa, FL 33614-2630
Mailing address
PO Box 862810
Orlando, FL 32886-2810
Phone (352) 867-8898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050852700 | Medicaid | FL | |
| 29679 | Other | FL | BLUE CROSS BLUE SHIELD |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Pinellas County | Past | Accepting new patients | |
| Clearwater Pain Management Associates | Pain Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Clearwater, FL
- NPI 1396772620
-
- Pain Clinic/Center
- Clearwater, FL
- NPI 1477585883
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1245322197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862810",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328862810",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142630",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSHORN",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME19455",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME19455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050852700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29679",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.