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

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: July 19, 2026.

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
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

Other Identifiers 2

Medicare PIN5DH27LA
Medicaid1311308LA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205075256, enumerated as an "organization" on February 16, 2009.

The provider is located at 985 ROBERT BLVD STE 102 SLIDELL, LA 70458 and the phone number is (985) 641-6300.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.