Organization Active NPI

Pearl Acres Pediatrics LLC

  • Pediatrics Physician
  • Slidell, LA
National Provider Identifier
1245231026
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEARL ACRES PEDIATRICS LLC
Practice address
59125 N Pearl Dr
Slidell, LA 70461-3727
Phone
(985) 643-7927
Fax
(985) 641-0209
NPI assigned
Aug 3, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Cherie G Oertling, MDNPI 1063412682
Title
Physician/Owner
Phone
(985) 643-7927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LA Primary

Addresses

Primary practice location

59125 N Pearl Dr
Slidell, LA 70461-3727

Mailing address

59125 N Pearl Dr
Slidell, LA 70461-3727
Phone (985) 643-7927

Other identifiers 1

IdentifierTypeStateIssuer
1442178MedicaidLA

National Provider Directory

National Provider Directory

Locations

59125 N Pearl Dr
Slidell, LA 70461
Phone (985) 643-7927

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245231026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59125 N PEARL DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613727",
            "telephone_number": "985-643-7927",
            "fax_number": "985-641-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59125 N PEARL DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613727",
            "telephone_number": "985-643-7927",
            "fax_number": "985-641-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL ACRES PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OERTLING",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-643-7927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442178",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.