PETER HERTZAK M.D. PMC (NPI# 1205075256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205075256 |
| Entity Type | Organization |
| Organization Name | PETER HERTZAK M.D. PMC |
| Practice Address |
985 Robert Blvd Ste 102 Slidell LA 70458-2063 |
| Practice Telephone | 9856416300 |
| Practice Fax Number | 9856461409 |
| Mailing Telephone | 9856416300 |
| Mailing Fax Number | 9856461409 |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-04-15 |
| Authorized Official Name | DR. PETER H HERTZAK (OWNER) |
| Authorized Official Telephone | 9856416300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
05273R | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1311308 | 05 |
| Street Address |
985 ROBERT BLVD STE 102 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003183047 | Clear Imaging LLC | Clinic/Center | 1241a 7th St, Slidell, LA 70458-2041 | 2011-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193593 | L & F Ross Transportation, LLC | Clinic/Center | 2645 Taffy Dr, Marrero, LA 70072-5745 | 2020-04-21 |
| 1649709452 | Guste Plastic and Reconstructive Surgery, LLC | Clinic/Center | 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 | 2017-06-06 |
| 1508227604 | Acadiana Allergy, Asthma and Immunology Center, LLC | Clinic/Center | 300 Rue Beauregard Ste F, Lafayette, LA 70508 | 2016-03-16 |
| 1215398631 | Stonewall Eye Care | Clinic/Center | 2434 Highway 171, Stonewall, LA 71078-9420 | 2016-03-11 |
| 1306273511 | Va Culotta Jr Md LLC | Clinic/Center | 4420 Conlin St., Ste 300, Metairie, LA 70006 | 2013-10-02 |
| 1306109350 | Active Spine Care LLC | Clinic/Center | 8108 Picardy Ave Ste E, Baton Rouge, LA 70809-3514 | 2012-06-22 |
| 1295064004 | Cynthia A. Williams, A.p.m.c. | Clinic/Center | 3555 Loyola Dr, Kenner, LA 70065-7706 | 2009-12-08 |
| 1215191903 | Myriam D Hutchinson Md | Clinic/Center | 104 N. Hospital Dr., Abbeville, LA 70510-4039 | 2008-07-11 |
| 1275706574 | Janice R. Pharr, Md, LLC | Clinic/Center | 1825 N 18th St, Suite A, Monroe, LA 71201-4401 | 2008-04-08 |
| 1538343157 | Access Vans of Louisiana Inc | Clinic/Center | 17300 Hwy. 77, Grosse Tete, LA 70740 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.