PETER C HENTZEN PHD., M.D.
NPI 1629072061
Radiology - Diagnostic Radiology in Louisville, KY

Q: What is Peter Hentzen's NPI number?

The NPI number for Peter Hentzen is 1629072061. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Peter Hentzen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Peter Hentzen was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 13, 2005

530 S JACKSON ST, # C07, LOUISVILLE, KY 40202(502) 852-5875(502) 852-1754 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter C Hentzen Phd., M.d. NPPES

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

PETER C HENTZEN PHD., M.D. (NPI 1629072061) is an individual diagnostic radiology provider in Louisville, Kentucky, licensed in Kentucky (34143) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1629072061

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NamePETER C HENTZENCredential: PHD., M.D.

Location Address530 S JACKSON ST, # C07Louisville, KY 40202-1675

Mailing AddressPo Box 21249Louisville, KY 40221-0249 · (502) 581-1500 · Fax (502) 540-4959

Phone(502) 852-5875

Fax(502) 852-1754

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateFebruary 19, 2008

✔ NPI 1629072061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in KY · 34143

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 34143 (KY)

530 S JACKSON ST, Louisville, KY 40202

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Other Identifiers 5

Medicare ID-Type Unspecified0276144KY

Medicare ID-Type Unspecified0636106KY

Medicaid64341431KY

Other000000049954KY · Anthem

Medicare UPING09339KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI BETH CHRISTIE MD

Anesthesiology