| Larry Keith Hirsch, MD | |
|
1086 Franklin St, Conemaugh Emergency Physicians Group, Johnstown, PA 15905 | |
| (814) 534-9600 | |
| Not Available |
| Full Name | Larry Keith Hirsch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1086 Franklin St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972572113 | NPI | - | NPPES |
| 1972572113 | Medicaid | VA | |
| 64129109 | Medicaid | KY | |
| 007365139 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD019885E (Pennsylvania) | Primary |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
| Entity Name | Emergency Services Midwest Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Keith Hirsch, MD 9201 Drake Ave, Apt. 102, Evanston, IL 60203-1650 Ph: (847) 673-5645 | Larry Keith Hirsch, MD 1086 Franklin St, Conemaugh Emergency Physicians Group, Johnstown, PA 15905 Ph: (814) 534-9600 |
Joseph W Hensley, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 | |
Nicole Dolhi, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 Fax: 814-534-5677 | |
Michaela Ledonne, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 | |
Rachel Worcester, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 | |
Jacob Stern, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 Fax: 814-534-5677 | |
Salahi Engin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 | |
Shihab Ahmed, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3745 |