Active NPI
Michael Dustin Hirsch, PA-C
- Physician Assistant
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-0001 - Phone
- (253) 966-1881
- NPI assigned
- Jan 4, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Mailing address
7714 237TH Street CT E
Graham, WA 98338-8369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Spradlin Farm Dr
Christiansburg, VA 24073-1161
Phone (540) 381-2745
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
6240 Tacoma Mall Blvd
Suite 101
Tacoma, WA 98409-6819
Phone (253) 271-9720
949 Market St
Suite 602
Tacoma, WA 98402-3693
Phone (253) 271-9720
9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702
Hospital & facility affiliations
- Lewisgale Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Urgent Care LLC | Current | Accepting new patients | |
| Lake Spring Physician Services, LLC | Physician Assistant | Current | Accepting new patients |
| Dispatchhealth Advanced Care - Washington PC | Past | Accepting new patients |
Locations
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- michael.hirsch.1@13869.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- Hospitalist Physician
- Salem, VA
- NPI 1568954287
Physician Assistant
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
- Hospitalist Physician
- Denver, CO
- NPI 1093324659
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1306507272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 237TH STREET CT E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-966-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "MICHAEL",
"middle_name": "DUSTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.