Provider Demographics
NPI:1023308939
Name:HERSHBERGER, DAMEN WAYNE (MD)
Entity type:Individual
Prefix:
First Name:DAMEN
Middle Name:WAYNE
Last Name:HERSHBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:316-858-7100
Mailing Address - Fax:316-858-7103
Practice Address - Street 1:9300 E 29TH ST N STE 320
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2184
Practice Address - Country:US
Practice Address - Phone:316-858-7100
Practice Address - Fax:316-858-7103
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2022-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS0437436207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA1908011Medicare PIN