Kevin S Hirsch (NPI# 1891784849, PAC ID# 9133180474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1891784849 |
| PAC ID by PECOS | 9133180474 |
| Professional Enrollment ID | I20041020001086 |
| Full Name | Kevin S Hirsch |
| Organization Legal Name | BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC |
| Address |
37000 N Gantzel Rd San Tan Valley AZ 85140-7303 |
| Phone Number | 4803944000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1052614294 |
| Number of Group Practice Members | 139 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030002 | BANNER - UNIVERSITY MEDICAL CENTER PHOENIX |
| Address | Phone | Organization |
|---|---|---|
| 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 4802566444 | BANNER CANCER CENTER SPECIALISTS LLC |
| 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 6025213700 | BANNER CANCER CENTER SPECIALISTS LLC |
| 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 | 4803944000 | BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
| Organization Legal Name | BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Archbold | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Sajith F Joseph | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Leslie A Welk | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Sara C Stimsonriahi | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Jignesh M Patel | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Izabela B Postacchini | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Howard L Baxter | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Todd A Richards | Plastic and Reconstructive Surgery | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Neychelle H C Fernandes | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Mike D Pham | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Street Address |
37000 N GANTZEL RD |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip | 85140-7303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Baldwin | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Sameer Bellapravalu | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Howard L Baxter | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| John Ortiz | Nurse Practitioner | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Tarang V Patel | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Ankur M Bant | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Rishi K Gosalia | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Ryan Kessel | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Christopher Atwell | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Ritesh Kanotra | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 37000 N Gantzel Rd, San Tan Valley, AZ 85140-7303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Earlywine | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Shuntelle Hawk | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Sheila F Cota | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Kelly A Mcmillan | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| David T Scholzen | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Jay R Gunnell | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Steven A Silodor | Family Medicine | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Sheryl Bacon | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Emylie Gott | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Richard N Peterson | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Find all physicians in zip 85140 | |||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAN TAN VALLEY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kevin S Hirsch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.