Active NPI
Thomas H. Hirasa, M.D., PLLC
- Surgery Physician
- Prescott, AZ
National Provider Identifier
1457680456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 37662
- Legal business name
- THOMAS H. HIRASA, M.D., PLLC
- Practice address
- 804 Ainsworth Dr
Suite 103
Prescott, AZ 86301-1624 - Phone
- (928) 771-1011
- Fax
- (928) 771-1332
- NPI assigned
- Dec 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Orlando
- Title
- Biller
- Phone
- (928) 636-1810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 37662 | AZ | Primary |
Addresses
Primary practice location
804 Ainsworth Dr
Suite 103
Prescott, AZ 86301-1624
Mailing address
804 Ainsworth Dr
Suite 103
Prescott, AZ 86301-1624
Phone (928) 771-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
442 Miller Valley Rd
Unit 10125
Prescott, AZ 86304
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Prescott, AZ
- NPI 1922016682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261440000000",
"number": "1457680456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 AINSWORTH DR",
"address_2": "SUITE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011624",
"telephone_number": "928-771-1011",
"fax_number": "928-771-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 AINSWORTH DR",
"address_2": "SUITE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011624",
"telephone_number": "928-771-1011",
"fax_number": "928-771-1332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS H. HIRASA, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-22",
"last_updated": "2009-12-22",
"status": "A",
"authorized_official_last_name": "ORLANDO",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "928-636-1810"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "37662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.