Active NPI
Harold Robert Neitzschman III, M.D.
- Specialist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L020894
- Practice address
- 1850 Gause Blvd E Ste 102
Slidell, LA 70461-5434 - Phone
- (985) 641-3742
- Fax
- (985) 641-7181
- NPI assigned
- Jan 4, 2007
- Last updated
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L020894 | LA | Primary |
Addresses
Primary practice location
1850 Gause Blvd E Ste 102
Slidell, LA 70461-5434
Mailing address
170 Crapemyrtle Rd
Covington, LA 70433-4766
Phone (985) 871-7130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116828 | Medicaid | MS | |
| 1682110 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in New Orleans, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1150 Robert Blvd
Slidell, LA 70458-2008
Phone (985) 641-3742
1150 Robert Blvd Sutie
Suite 350
Slidell, LA 70458-2008
Hospital & facility affiliations
- Slidell Memorial Hospital
- Highland Community Hospital
- Our Lady of the Lake Surgical Hospital
- Ochsner Medical Center Acute
- Ochsner Medical Center-Hancock
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L020894 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold R Neitzschman III MD Apmc | Urology | Current | Accepting new patients |
Locations
1150 Robert Blvd
Ste 350
Slidell, LA 70458
Phone (504) 649-6660
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Slidell, LA
- NPI 1568785160
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Surgical Hospital
- General Acute Care Hospital
- Slidell, LA
- NPI 1821465576
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
dba Highland Community Hospital
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
dba Ochsner Medical Center - Hancock
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1942357900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 CRAPEMYRTLE RD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334766",
"telephone_number": "985-871-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GAUSE BLVD E STE 102",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615434",
"telephone_number": "985-641-3742",
"fax_number": "985-641-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEITZSCHMAN",
"first_name": "HAROLD",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "L020894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116828",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1682110",
"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 Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.