Provider Demographics
NPI:1053416131
Name:HIRSCH, NORMAN ISAK (DO)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ISAK
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7655 5 MILE RD STE 124
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4326
Mailing Address - Country:US
Mailing Address - Phone:513-624-6556
Mailing Address - Fax:
Practice Address - Street 1:7655 5 MILE RD STE 124
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4326
Practice Address - Country:US
Practice Address - Phone:513-624-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY024222084P0800X
OH340025332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30608012Medicaid
A79606Medicare UPIN
KY30608012Medicaid
KY0390625Medicare PIN
KY0509321Medicare PIN
KY0509224Medicare PIN
KY0029154Medicare PIN