Healthcare Provider Details

I. General information

NPI: 1679004006
Provider Name (Legal Business Name): THOMAS JOSEPH HIRSCHAUER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11009 LARKMEADE LN
POTOMAC MD
20854-2781
US

IV. Provider business mailing address

8709 SLEEPY HOLLOW LN
POTOMAC MD
20854-2566
US

V. Phone/Fax

Practice location:
  • Phone: 484-351-8459
  • Fax: 484-351-8810
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA162104
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberD0098625
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberA162104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: