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PETER MORTENSEN MD NPI 1376907840


NPI Information

NPI: 1376907840
Provider Name: PETER MORTENSEN, MD
Classification: Ophthalmology - 207WX0109X
Entity Type: Individual

Specialization: Neuro-ophthalmology

Organization: TMH PHYSICIAN ASSOCIATES PLLC

PECOS Registration: Yes

Address:
6560 FANNIN ST STE 450
HOUSTON, TX
ZIP 77030
Phone: (713) 441-8843
Get Directions

Peter Mortensen, MD is a neuro-ophthalmology ophthalmology in Houston, TX with 8 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. Peter Mortensen, MD NPI is 1376907840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

6560 FANNIN ST STE 450
HOUSTON, TX
ZIP 77030-735
Phone: (713) 441-8843
Fax: (713) 793-1636

The NPI 1376907840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 2/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2390200000XStudent in an Organized Health Care Education/Training ProgramRS2019-0646NEW MEXICONo
3207WX0109XOphthalmologyNeuro-ophthalmologyT0576TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.