Active NPI
David Milo Hirschi III, MD
- Sports Medicine (Family Medicine) Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 72217
- Practice address
- 820 E Grant St
Appleton, WI 54911 - Phone
- (920) 831-5050
- Fax
- (920) 738-6400
- NPI assigned
- Jun 16, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 72217 | WI | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 01080150A | IN | |
| Family Medicine Physician | 207Q00000X | MRM-1386 | ID |
Addresses
Primary practice location
820 E Grant St
Appleton, WI 54911
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 454-8208
Other practice location 1
515 Read St
Evansville, IN 47710
Phone (812) 424-9291
Other practice location 2
515 Read St
Evansville, IN 47710
Phone (812) 424-9291
Other practice location 3
10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (812) 424-9291
Other practice location 4
5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 424-9291
Other practice location 5
4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone (812) 424-9291
Other practice location 6
191 Memorial Dr Ste 100
Berlin, WI 54923-1241
Phone (920) 361-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001175249 | Other | IN | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 E Grant St
Appleton, WI 54911-3483
Phone (920) 831-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MRM-1386 | ID | MD | Family Medicine Physician |
| 72217 | WI | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Family Medicine | Current | Accepting new patients |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264
191 Memorial Dr
Ste 100
Berlin, WI 54923
Phone (920) 361-2500
191 Memorial Dr
Ste 200
Berlin, WI 54923
Phone (920) 361-6330
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- dhirschi281418@direct.thedacare.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Counselor
- Menasha, WI
- NPI 1306959515
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ripon, WI
- NPI 1326493602
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- Wautoma, WI
- NPI 1992159289
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912880329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1891109039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-454-8208",
"fax_number": "920-993-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E GRANT ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-831-5050",
"fax_number": "920-738-6400"
}
],
"practiceLocations": [
{
"address_1": "515 Read St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "47710",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Read St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "47710",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10455 Orthopaedic Dr",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307955",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5828 Pearl Dr",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477128116",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4011 Gateway Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308947",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "191 Memorial Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "WI",
"postal_code": "549231241",
"country_code": "US",
"telephone_number": "920-361-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRSCHI",
"first_name": "DAVID",
"middle_name": "MILO",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WI",
"license": "72217",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "01080150A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "MRM-1386",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000001175249",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.