PETER HERTZAK (NPI# 1740278134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740278134 |
| Entity Type | Individual |
| Full Name | PETER HERTZAK |
| Credential | MD |
| Practice Address |
985 Robert Blvd Ste 105 Slidell LA 70458-2063 |
| Practice Telephone | 9856416300 |
| Practice Fax Number | 9856461409 |
| Mailing Telephone | 9856416300 |
| Mailing Fax Number | 9856461409 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 05273R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1311308 | 05 |
| Street Address |
985 ROBERT BLVD STE 105 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970678 | Adrienne Bernhard | Nurse Anesthetist, Certified Registered | 985 Robert Blvd, Slidell, LA 70458-2063 | 2005-08-25 |
| 1881973956 | Thomas Jerome Myers | Anesthesiology | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-08-08 |
| 1851679849 | Diana L. Gillmore, M.d.,l.l.c. | Surgery | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-07-26 |
| 1679899777 | Ear, Nose, Throat Clinic of Slidell | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2010-04-14 |
| 1639330368 | Bert R. Bratton Apmc | Neurological Surgery | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-06-25 |
| 1174798698 | Nancy H Villa | Audiologist-Hearing Aid Fitter | 985 Robert Blvd, Ste. 104, Slidell, LA 70458-2063 | 2008-04-25 |
| 1306010566 | Northlake Interventional Pain Management, LLC | Pain Medicine | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-04-18 |
| 1952419830 | Mary Lisa Leonard | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1144338153 | Wade Joseph Estopinal | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1639287659 | Charles Allen Preston | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
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| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154616134 | James Sibley Holmes | Obstetrics & Gynecology | 107 Mary Ellen Dr, Slidell, LA 70460 | 2011-06-17 |
| 1821156175 | Peter Hertzak, M.d., Pmc | Obstetrics & Gynecology | 985 Robert Blvd., Suite 105, Slidell, LA 70458 | 2006-12-05 |
| 1750484887 | David Bruce Hebert | Obstetrics & Gynecology | 2364 Gause Blvd, Slidell, LA 70461-4141 | 2006-09-06 |
| 1033142005 | Meredith Joann Hixson | Obstetrics & Gynecology | 700 Gause Blvd Ste 206, Slidell, LA 70458-2853 | 2006-07-10 |
| 1811124290 | Meredith J Hixson, Md., Apmc | Obstetrics & Gynecology | 700 Gause Blvd Ste 206, Slidell, LA 70458-2853 | 2009-06-12 |
| 1457522419 | Melissa W. Smith, M.d., LLC | Obstetrics & Gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2004 | 2008-03-18 |
| 1891972410 | Adela' Marie Narcisse | Obstetrics & Gynecology | 105 Medical Center Dr, Suite #303, Slidell, LA 70461-5544 | 2008-01-25 |
| 1114118932 | Melissa Welch Smith | Obstetrics & Gynecology | 1150 Robert Blvd, Ste.360, Slidell, LA 70458-2004 | 2007-08-06 |
| 1811028582 | Ingrid K. Roskos, Md, Ampc | Obstetrics & Gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2004 | 2007-03-07 |
| 1184634040 | Camellia City Obstetrics and Gynecology | Obstetrics & Gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2004 | 2006-08-09 |
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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.