Individual provider Active NPI

Stephen Peter Hersh, M.D.

  • Specialist
  • Chevy Chase, MD
National Provider Identifier
1295866333
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0015224 Issued in MD
Practice address
2 Wisconsin Cir
Suite 650
Chevy Chase, MD 20815-7003
Phone
(301) 654-3638
Fax
(301) 652-9051
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0015224 MD Primary

Addresses

Primary practice location

2 Wisconsin Cir
Suite 650
Chevy Chase, MD 20815-7003

Mailing address

2 Wisconsin Cir
Suite 650
Chevy Chase, MD 20815-7003
Phone (301) 654-3638

Other identifiers 1

IdentifierTypeStateIssuer
D0015224OtherMDMEDICAL LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1295866333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR",
            "address_2": "SUITE 650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157003",
            "telephone_number": "301-654-3638",
            "fax_number": "301-652-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR",
            "address_2": "SUITE 650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157003",
            "telephone_number": "301-654-3638",
            "fax_number": "301-652-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "STEPHEN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0015224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0015224",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.