Basic Information
Provider Information | |||||||||
NPI: | 1154764892 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | HIRSHBURG | ||||||||
FirstName: | GENEVA | ||||||||
MiddleName: | CHRISTINE WHITNEY | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 800 STANTON L YOUNG | ||||||||
Address2: | ANDREW ACADEMIC TOWER, SUITE 2400 | ||||||||
City: | OKC | ||||||||
State: | OK | ||||||||
PostalCode: | 73104 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4052717449 | ||||||||
FaxNumber: | 4052718547 | ||||||||
Practice Location | |||||||||
Address1: | 800 STANTON L YOUNG | ||||||||
Address2: | ANDREW ACADEMIC TOWER, SUITE 2400 | ||||||||
City: | OKC | ||||||||
State: | OK | ||||||||
PostalCode: | 73104 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4052717449 | ||||||||
FaxNumber: | 4052718547 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/11/2013 | ||||||||
LastUpdateDate: | 07/21/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 11/09/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | R4561 | TX | N |   | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |   | 207V00000X | BP10045820 | TX | N |   | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |   | 207V00000X | 33252 | OK | Y |   | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |   |
No ID Information.