Peter Hertzak M.D. PMC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

05273R Issued in LA

Legal business name

PETER HERTZAK M.D. PMC

Practice address

985 Robert Blvd Ste 102
Slidell, LA 70458-2063

Phone

(985) 641-6300

Fax

(985) 646-1409

NPI assigned

Feb 16, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter H HertzakNPI 1740278134

Title

Owner

Phone

(985) 641-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Hertzak, MD

  • Obstetrics & Gynecology Physician
  • Slidell, LA
  • NPI 1740278134
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1205075256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 ROBERT BLVD STE 102",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582063",
            "telephone_number": "985-641-6300",
            "fax_number": "985-646-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 ROBERT BLVD STE 102",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582063",
            "telephone_number": "985-641-6300",
            "fax_number": "985-646-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER HERTZAK M.D. PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "HERTZAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-641-6300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "05273R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311308",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ratnakar Pernenkil, MD
• Christopher Michael Perret, CRNA
• Persephanie Silverthorn PHD Licensed Clinical Psychologist LLC
• Perspectives Counseling
• Pet Center of Louisiana LLC
• Peter Hertzak, M.D., PMC
• Peter R. Galvan M.D. a Professional Medical Corporation
• Ariel Cheyene Peters
• Gloria V. Peters, NP
• Naomi H Peters, PA-C

• Medical Specialty Clinic/Center in Slidell, LA
• Providers in Slidell, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.