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Deactivated NPI 1104136357 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel B. Hershenhouse , MD

Internal Medicine • Fairfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Hershenhouse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2010
NPI Deactivation Date September 21, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Hershenhouse, MD was a registered Internal Medicine practicing in Fairfield, CA. Throughout an active medical career spanning 8 years, Dr. Hershenhouse provided care at the practice location at 945 EASTRIDGE DR. until profile deactivation on 2018-09-21.

Practice Location & Contact Primary Location

Practice Address

945 Eastridge Dr.

Fairfield, CA 945344003

Telephone 7078648846
Fax 7078648846

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
59 Specialists

Practicing in Fairfield, CA (18502 Statewide)

Telehealth Adoption Rate
30.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA C-16219

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 21, 2018

Record deactivated on September 21, 2018

NPI Profile Active October 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2010

Registered at 945 EASTRIDGE DR., FAIRFIELD, CA 945344003 (Tel: 7078648846)

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Updated Business Mailing Address October 20, 2010

Registered at 945 EASTRIDGE DR., FAIRFIELD, CA 945344003 (Tel: 7078648846)

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Provider Name / Credentials Updated October 20, 2010

Recorded as SAMUEL HERSHENHOUSE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2010

Internal Medicine (License #C-16219 in CA)

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Initial NPI Registration & Enumeration October 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104136357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2010
Last Update: October 20, 2010
Deactivation Date: September 21, 2018

Mailing Address

945 Eastridge Dr.

Fairfield, CA 945344003

Phone: 7078648846

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.