| Dr Evan Hirsch, MD | |
|
1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | |
| (641) 684-2300 | |
| Not Available |
| Full Name | Dr Evan Hirsch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1001 Pennsylvania Ave, Ottumwa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679513733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A61540 (California) | Secondary |
| 207P00000X | Emergency Medicine | MD-49359 (Iowa) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Sonoma Valley Emergency Physicians Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710164629 PECOS PAC ID: 1355420191 Enrollment ID: O20080506000390 |
| Entity Name | Can Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
| Entity Name | Sunshine Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649725466 PECOS PAC ID: 3072893460 Enrollment ID: O20161130001458 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Hirsch, MD 3711 W. 230th St. #211, Torrance, CA 90505 Ph: (626) 354-4671 | Dr Evan Hirsch, MD 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 Ph: (641) 684-2300 |
Dr. Amy Kumagai, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2402 | |
Dr. Randall Craig Dieleman, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-3173 | |
Dr. Douglas Lyssy, MD/MBA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-984-2341 |