NPIMap

Organization Active NPI

H2 Dermatology PLLC

  • Dermatology Physician
  • Freeland, MI
National Provider Identifier
1427692276
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
H2 DERMATOLOGY PLLC
Practice address
5120 Midland Rd
Freeland, MI 48623-8702
Phone
(989) 401-1463
NPI assigned
Nov 5, 2019
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Derek James Hirschman, DONPI 1285016303
Title
Physician
Phone
(989) 289-1292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

5120 Midland Rd
Freeland, MI 48623-8702

Mailing address

PO Box 3272
Saginaw, MI 48605-3272
Phone (989) 797-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.h2dermatology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515000617 MI Part B Supplier - Clinic/Group Practice 9739510348 Receives reassigned benefits from 14 practitioners
Practice locations: Grand Rapids, MI; Midland, MI; Saginaw, MI; Bay City, MI

National Provider Directory

National Provider Directory

Locations

5120 Midland Rd
Freeland, MI 48623
Phone (989) 401-1463

5120 Midland Rd
#H2
Freeland, MI 48623
Phone (989) 401-1463

833 Michigan St NE
Ste 102A
Grand Rapids, MI 49503
Phone (616) 459-1361

6225 Jefferson Ave
Midland, MI 48640
Phone (989) 401-1463

5120 Midland Rd
Saginaw, MI 48603
Phone (989) 401-1463

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1427692276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3272",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486053272",
            "telephone_number": "989-797-1400",
            "fax_number": "989-797-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238702",
            "telephone_number": "989-401-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2 DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "HIRSCHMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-289-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.h2dermatology.com",
            "affiliation": "N",
            "address_1": "21141 Middlebelt Rd",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.