Provider Demographics
NPI:1346446861
Name:DRS HIRST AND ASSOCIATES INC
Entity Type:Organization
Organization Name:DRS HIRST AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-938-9477
Mailing Address - Street 1:345 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:OH
Mailing Address - Zip Code:44672-1303
Mailing Address - Country:US
Mailing Address - Phone:330-938-9477
Mailing Address - Fax:330-938-9499
Practice Address - Street 1:345 N 15TH ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:OH
Practice Address - Zip Code:44672-1303
Practice Address - Country:US
Practice Address - Phone:330-938-9477
Practice Address - Fax:330-938-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35037750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0407683Medicare PIN