Individual provider Active NPI

Jeffrey G Hirsch, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1417988957
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10915 Issued in OK
Practice address
100 W Main St
Suite 200
Oklahoma City, OK 73102-9024
Phone
(405) 815-5060
Fax
(405) 815-5065
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10915 OK Primary

Addresses

Primary practice location

100 W Main St
Suite 200
Oklahoma City, OK 73102-9024

Mailing address

100 W Main St
Ste 200
Oklahoma City, OK 73102-9052
Phone (405) 815-5060

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jhirsch36922@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000883 OK Practitioner - Family Practice 7214987320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10915OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Saints Medical Group, LLC CurrentSince Oct 1, 2006 Accepting new patients
Saints Medical Group, LLC Family Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

100 W Main St
Ste 200
Oklahoma City, OK 73102
Phone (405) 815-5060

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

120 N Robinson Ave
Ste 153W
Oklahoma City, OK 73102
Phone (405) 232-3111

120 N Robinson Ave
Oklahoma City, OK 73102
Phone (405) 232-3111

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1417988957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731029052",
            "telephone_number": "405-815-5060",
            "fax_number": "405-815-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731029024",
            "telephone_number": "405-815-5060",
            "fax_number": "405-815-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhirsch36922@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jhirsch36922@direct-ehr-ssmhc.com",
            "address_1": "100 W Main St",
            "address_2": "Suite 200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731029024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "100 W Main St",
            "address_2": "Suite 200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731029024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.