Provider Demographics
NPI:1598723355
Name:HIRSCH, BARBARA JEAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JEAN
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13910 LITTLE TREE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5475
Mailing Address - Country:US
Mailing Address - Phone:301-762-2934
Mailing Address - Fax:
Practice Address - Street 1:13910 LITTLE TREE CT
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5475
Practice Address - Country:US
Practice Address - Phone:301-762-2934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01126213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD575024OtherOPTIMUM CHOICE PROVIDER #
MD4572627OtherAETNA HMO PROVIDER NUMBER
MD521186611OtherUNITED HEALTHCARE PROV #
MD575024OtherALLIANCE PROVIDER NUMBER
MD575024OtherMDIPA PROVIDER NUMBER
MD7141747OtherCIGNA PROVIDER NUMBER
MD9070 0022OtherBSDC PROVIDER NUMBER
MD4572627OtherAETNA PPO PROVIDER NUMBER
MD575024OtherMAMSI PROVIDER NUMBER
MD61527304OtherBSMD PROVIDER NUMBER
MD015295E78Medicare ID - Type Unspecified
MDT11498Medicare UPIN
MD521186611OtherUNITED HEALTHCARE PROV #
MD575024OtherOPTIMUM CHOICE PROVIDER #