Individual provider Active NPI

Anthony Douglas Hirtz, MD

  • Pediatrics Physician
  • West Point, NY
National Provider Identifier
1578628467
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101053288 Issued in VA
Practice address
900 Washington Rd
Credential's Office, Keller Army Community Hospital
West Point, NY 10996-1109
Phone
(845) 938-4114
NPI assigned
Dec 22, 2006
Last updated
May 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101053288 VA Primary

Addresses

Primary practice location

900 Washington Rd
Credential's Office, Keller Army Community Hospital
West Point, NY 10996-1109

Mailing address

900 Washington Rd
Credential's Office, Keller Army Community Hospital
West Point, NY 10996-1109
Phone (845) 938-4114

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110622000526 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9133307176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101053288VAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1578628467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "address_2": "CREDENTIAL'S OFFICE, KELLER ARMY COMMUNITY HOSPITAL",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "address_2": "CREDENTIAL'S OFFICE, KELLER ARMY COMMUNITY HOSPITAL",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRTZ",
        "first_name": "ANTHONY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101053288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NY

Sources for this page

Verify at the official NPI Registry.