Organization Active NPI

Edward D. Hirsch MD PA

  • Infectious Disease Physician
  • Coral Springs, FL
National Provider Identifier
1871764431
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME80511 Issued in FL
Legal business name
EDWARD D. HIRSCH MD PA
Practice address
3080 NW 99TH Ave Ste 304
Coral Springs, FL 33065-4038
Phone
(954) 733-7606
Fax
(754) 946-2066
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Edward David Hirsch, MDNPI 1578554408
Title
Ceo
Phone
(954) 733-7606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME80511 FL Primary

Addresses

Primary practice location

3080 NW 99TH Ave Ste 304
Coral Springs, FL 33065-4038

Mailing address

3080 NW 99TH Ave Ste 304
Coral Springs, FL 33065-4038
Phone (954) 733-7606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000762 FL Part B Supplier - Clinic/Group Practice 0840218822 Receives reassigned benefits from 1 practitioner
Practice locations: Tamarac, FL; Sunrise, FL; Plantation, FL; Lauderdale Lakes, FL; Lauderhill, FL; Ft. Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

3080 NW 99th Ave
Ste 304
Coral Springs, FL 33065
Phone (754) 812-1000

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1871764431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 NW 99TH AVE STE 304",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654038",
            "telephone_number": "954-733-7606",
            "fax_number": "754-946-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 NW 99TH AVE STE 304",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654038",
            "telephone_number": "954-733-7606",
            "fax_number": "754-946-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D. HIRSCH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-733-7606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME80511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.