PETER HERTZAK M.D. PMC
NPI 1205075256
Clinic/Center - Medical Specialty in Slidell, LA

Q: What is Peter Hertzak M.D. Pmc's NPI number?

The NPI number for Peter Hertzak M.D. Pmc is 1205075256. It was assigned to this organization in the NPPES registry on February 16, 2009.

Q: What is Peter Hertzak M.D. Pmc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since February 16, 2009

985 ROBERT BLVD STE 102, SLIDELL, LA 70458(985) 641-6300(985) 646-1409 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peter Hertzak M.d. Pmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER HERTZAK M.D. PMC (NPI 1205075256) is a healthcare organization registered as a medical specialty in Slidell, Louisiana and active in the NPI registry since February 2009. The organization lists Peter H Hertzak, Owner, as its authorized official.

NPPES Registry Identity

NPI1205075256

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NamePETER HERTZAK M.D. PMC

Location Address985 ROBERT BLVD STE 102Slidell, LA 70458-2063

Mailing Address985 Robert Blvd Ste 102Slidell, LA 70458-2063 · (985) 641-6300 · Fax (985) 646-1409

Phone(985) 641-6300

Fax(985) 646-1409

Organization SubpartNo

Authorized OfficialPeter H HertzakOwner · (985) 641-6300

Enumeration DateFebruary 16, 2009

Last NPPES UpdateApril 15, 2009

✔ NPI 1205075256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in LA · 05273R

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

985 ROBERT BLVD STE 102, Slidell, LA 70458

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Other Identifiers 2

Medicare PIN5DH27LA

Medicaid1311308LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Hertzak M.D. Pmc's NPI number?

The NPI number for Peter Hertzak M.D. Pmc is 1205075256. It was assigned to this organization in the NPPES registry on February 16, 2009.

Where is Peter Hertzak M.D. Pmc located?

Peter Hertzak M.D. Pmc is located at 985 Robert Blvd Ste 102, Slidell, LA 70458. The listed phone number is (985) 641-6300.

What is Peter Hertzak M.D. Pmc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Peter Hertzak M.D. Pmc was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.