Active NPI
David I Hirsch, M.D.
- Nephrology Physician
- Cleveland, MS
National Provider Identifier
1467641787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 11895
- Practice address
- 220 N. Pearman
Cleveland, MS 38732 - Phone
- (662) 846-6943
- Fax
- (662) 843-8956
- NPI assigned
- Oct 23, 2007
- Last updated
- Jul 2, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11895 | MS | |
| Internal Medicine Physician | 207R00000X | 11895 | MS | |
| Nephrology Physician | 207RN0300X | 11895 | MS | Primary |
Addresses
Primary practice location
220 N. Pearman
Cleveland, MS 38732
Mailing address
P.O. Box 6000
Greenville, MS 38704
Phone (662) 335-4105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018713 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11895 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norfolk Supply | Past | Accepting new patients |
Interoperability endpoints
- bolv_-_dr._david_hirsch_physician@yourcarecommunity.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dialysis Equipment & Supplies (DME)
- Greenville, MS
- NPI 1609959329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1467641787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6000",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "38704",
"telephone_number": "662-335-4105",
"fax_number": "662-378-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N. PEARMAN",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "38732",
"telephone_number": "662-846-6943",
"fax_number": "662-843-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "DAVID",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "11895",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "11895",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "11895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018713",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
- Madison Hefner, OTD, OTR/L
- Heritage South Medical Services, LLC
- Charles E Hicks
- Amanda Chandler Hill
- Willecia La'Shae Hilson
- Stephanie Muirhead Hodnett
- Clarence Anthony Holmes Sr., PT
- Home Health Care Services II, Inc. (Adoration Home Health Care Mississippi)
- Home Health Care Services II, Inc. (Adoration Home Health Care Mississippi)
- Linder G Howze, PSYCHOLOGIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.