Active NPI
Eva S Hersh, M.D.
- Family Medicine Physician
- St Petersburg, FL
National Provider Identifier
1487696324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME136876
- Practice address
- 3251 3Rd Ave N
St Petersburg, FL 33713-8506 - Phone
- (727) 321-3854
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME136876 | FL | Primary |
Addresses
Primary practice location
3251 3Rd Ave N
St Petersburg, FL 33713-8506
Mailing address
3251 3Rd Ave N
St Petersburg, FL 33713-8506
Phone (727) 321-3854
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5620101 | Other | MD | AETNA HMP |
| X697-0006 | Other | MD | CAREFIRST DC |
| 3318973 | Other | CIGNA | |
| 031733 | Other | JHHC PRODUCTS | |
| 8500613 | Other | MD | AETNA PPO |
| 314709 | Other | KAISER | |
| 211461500 | Medicaid | MD | |
| CB6XPA | Other | MD | CAREFIRST MD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1487696324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 3RD AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138506",
"telephone_number": "727-321-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 3RD AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138506",
"telephone_number": "727-321-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSH",
"first_name": "EVA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2020-11-19",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME136876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMP",
"identifier": "5620101",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "X697-0006",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3318973",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC PRODUCTS",
"identifier": "031733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "8500613",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "314709",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211461500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD",
"identifier": "CB6XPA",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Bridget Denise Herring-Daniels
- Diana Saum Herring, M.S.
- Muriel Elias Herring, PHYSICIAN ASSISTANT
- Jessica J Herrington, ARNP
- Erik Herrmann, PTA
- Hershberger Hearing LLC (Clarity Hearing Care)
- Zackary Van Hershberger, HAS
- Elizabeth Denise Herzog, PMHNP-BC
- Mariryan Heschmeyer, D.O.M
- Luanne C Hespeler, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.