Active NPI
Peter Hertzak, M.D., PMC
- Plastic Surgery Physician
- Slidell, LA
National Provider Identifier
1821156175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 05273R
- Legal business name
- PETER HERTZAK, M.D., PMC
- Practice address
- 985 Robert Blvd.
Suite 105
Slidell, LA 70458 - Phone
- (985) 641-6300
- Fax
- (985) 646-1409
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen R Motes
- Title
- Office Manager
- Phone
- (985) 690-8349
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 05273R | LA | |
| Plastic Surgery Physician | 208200000X | 05273R | LA | Primary |
Addresses
Primary practice location
985 Robert Blvd.
Suite 105
Slidell, LA 70458
Mailing address
985 Robert Blvd.
Suite 105
Slidell, LA 70458
Phone (985) 641-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1311308 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
985 Robert Blvd
Ste 105
Slidell, LA 70458
Phone (985) 646-2303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Slidell, LA
- NPI 1740278134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1821156175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 ROBERT BLVD.",
"address_2": "SUITE 105",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"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.",
"address_2": "SUITE 105",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-641-6300",
"fax_number": "985-646-1409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER HERTZAK, M.D., PMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MOTES",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "985-690-8349",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "05273R",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "LA",
"license": "05273R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1311308",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
- 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
- Crystal Petit
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.