Daren Harold Hersh, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

J2076 Issued in TX

Practice address

111 Dallas St
Emergency Room
San Antonio, TX 78205-1201

Phone

(210) 614-0180

Fax

(210) 615-7170

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cec Alamo Heights ER Physicians PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Antonio, TX
  • NPI 1194117374
  NPD
• 2013 Broadway Emergency Care LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1770093643
  NPD (past)
• Alamo Heights Complete Care LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1609268879
  NPD (past)
• Complete Emergency Care la Vernia LLC

  • Emergency Care Clinic/Center
  • La Vernia, TX
  • NPI 1568835569
  NPD (past)
• La Vernia Erl Acquisition Partners LLC

  • Emergency Care Clinic/Center
  • La Vernia, TX
  • NPI 1225825946
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1497729958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12740",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852740",
            "telephone_number": "562-809-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "address_2": "EMERGENCY ROOM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "210-614-0180",
            "fax_number": "210-615-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "DAREN",
        "middle_name": "HAROLD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J2076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N2600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110554604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110554601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette Lyshey Lydia Herron-Taliaferro
• Karen Herron, LVN
• Michael Strickler Herron
• Bridget Herschap, M.D.
• Diem CHI Herscovici, O.D.
• Lisa Jones Hersom, RN
• Brandon Hertzog
• Michael Anthony Herzik, M.D.
• Herzog San Antonio PC
• Cameron Herzog

• Emergency Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.