Provider Demographics
NPI:1952381519
Name:HIRSCH, STEVEN HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HAROLD
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 CLAYS TRL
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4839
Mailing Address - Country:US
Mailing Address - Phone:813-252-2445
Mailing Address - Fax:
Practice Address - Street 1:1173 CLAYS TRL
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-4839
Practice Address - Country:US
Practice Address - Phone:813-252-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30364207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8942622Medicaid
NC207294CMedicare ID - Type UnspecifiedMEDICARE
2344407Medicare PIN
NCC84519Medicare UPIN