Individual provider Active NPI

Steven P Hirsh, DPM

  • Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1629029558
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0001789 Issued in FL
Practice address
2950 Griffin Rd
Fort Lauderdale, FL 33312-5648
Phone
(954) 924-6151
Fax
(954) 434-6463
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38R101564000 NJ
Pharmacist 183500000X P518795 FL
Podiatrist 213E00000X PO0001789 FL Primary

Addresses

Primary practice location

2950 Griffin Rd
Fort Lauderdale, FL 33312-5648

Mailing address

PO Box 48023
St Petersburg, FL 33743-8023
Phone (727) 800-9958

Other identifiers 2

IdentifierTypeStateIssuer
029740200MedicaidFL
87973OtherFLB/C B/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000809 FL Practitioner - Podiatry 7113963273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P518795FLMDPharmacist
38R101564000NJMDPharmacist
PO0001789FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven P Hirsh DPM PA Podiatrist CurrentSince Jan 26, 2010 Accepting new patients
David K Morris, DPM PA Podiatrist PastSince Jul 23, 2010 Accepting new patients

Locations

4611 S University Dr
Davie, FL 33328
Phone (305) 498-9324

3332 Griffin Rd
Fort Lauderdale, FL 33312
Phone (954) 924-6151

3300 Griffin Rd
Ft Lauderdale, FL 33312
Phone (954) 924-6151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1629029558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48023",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337438023",
            "telephone_number": "727-800-9958",
            "fax_number": "954-434-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125648",
            "telephone_number": "954-924-6151",
            "fax_number": "954-434-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSH",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "38R101564000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "P518795",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029740200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "87973",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.