Active NPI
Jonathan M Hershey, M.D.
- Retina Specialist (Ophthalmology) Physician
- Milwaukee, WI
National Provider Identifier
1811992563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 33271
- Practice address
- 2600 N Mayfair Rd Ste 901
Milwaukee, WI 53226-1307 - Phone
- (414) 774-3484
- Fax
- (414) 778-3445
- NPI assigned
- Jun 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 33271 | WI | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 33271 | WI | Primary |
Addresses
Primary practice location
2600 N Mayfair Rd Ste 901
Milwaukee, WI 53226-1307
Mailing address
2600 N Mayfair Rd Ste 901
Milwaukee, WI 53226-1307
Phone (414) 774-3484
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31820900 | Medicaid | WI | |
| 10758215 | Other | CAQH | |
| 33271 | Other | WI | WI STATE MEDICAL LICENSE |
| 000000047625 | Other | AMERICAN ACADEMY OF OPHTHALMOLOGY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhershey@rvcow.intellechartdirect.net | Direct |
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 |
|---|---|---|---|
| 33271 | WI | MD | Retina Specialist (Ophthalmology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1811992563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD STE 901",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261307",
"telephone_number": "414-774-3484",
"fax_number": "414-778-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD STE 901",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261307",
"telephone_number": "414-774-3484",
"fax_number": "414-778-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHEY",
"first_name": "JONATHAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-18",
"last_updated": "2023-03-07",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "33271",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "WI",
"license": "33271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31820900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10758215",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE MEDICAL LICENSE",
"identifier": "33271",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF OPHTHALMOLOGY",
"identifier": "000000047625",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhershey@rvcow.intellechartdirect.net",
"affiliation": "N",
"endpointDescription": "This is the direct email on our EMR system",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Protected PHI",
"address_1": "2600 N Mayfair Rd Ste 901",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532261307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.