JOHN WAELTZ (NPI# 1174638621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174638621 |
| Entity Type | Individual |
| Full Name | JOHN WAELTZ |
| Credential | M.D. |
| Practice Address |
4655 N Port Washington Rd Suite 100 Glendale WI 53212-1004 |
| Practice Telephone | 4149617444 |
| Practice Fax Number | 4149617445 |
| Mailing Telephone | 4149617444 |
| Mailing Fax Number | 4149617445 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 26524 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30767800 | 05 |
| Street Address |
4655 N PORT WASHINGTON RD SUITE 100 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493346 | Howard N Dubner | Internal Medicine | 4655 N Port Washington Rd, Suite 200, Glendale, WI 53212-1004 | 2005-11-03 |
| 1336491646 | Mharajoy S Kobinah | Nurse Practitioner | 4655 N Port Washington Rd, Suite 325, Glendale, WI 53212-1004 | 2012-10-10 |
| 1053674085 | Leann Vice-reshel | Counselor | 4655 N Port Washington Rd, Glendale, WI 53212-1004 | 2012-06-25 |
| 1336310820 | Steven M. Brown, M.d., Sc | Specialist | 4655 N Port Washington Rd, Suite 325, Glendale, WI 53212-1004 | 2008-03-12 |
| 1619087145 | Linda M Wesp | Nurse Practitioner | 4655 N Port Washington Rd, Ste 325, Glendale, WI 53212-1000 | 2006-08-30 |
| 1083623433 | Michael H Gilman | Obstetrics & Gynecology | 4655 N Port Washington Rd, Suite 100, Glendale, WI 53212-1004 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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 |
|---|---|---|---|---|
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1821542077 | Crisis Pregnancy Centers of Greater Phoenix | Obstetrics & Gynecology | 10555 N 58th Dr, Glendale, AZ 85302-1360 | 2016-08-04 |
| 1093177156 | Kathryn Reise | Obstetrics & Gynecology | 6316 W Union Hills Dr # 100, Glendale, AZ 85308-1001 | 2016-03-27 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1871890160 | Sahag A Arslanian Md, A Medical Corporation | Obstetrics & Gynecology | 1241 S Glendale Ave Ste 201, Glendale, CA 91205-3388 | 2011-02-22 |
| 1689802530 | Chand Jasen Aryasingha | Obstetrics & Gynecology | 3120 Kingridge Way, Glendale, CA 91206-1027 | 2009-06-30 |
| 1073703443 | Kelly Ann Goad | Obstetrics & Gynecology | 5601 W Eugie Ave Ste 100, Glendale, AZ 85304-1256 | 2007-07-31 |
| 1720278666 | Michael Conrad Bryan | Obstetrics & Gynecology | 5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306-4710 | 2007-07-26 |
| 1972793933 | Melissa Gioia Austin I | Obstetrics & Gynecology | 6316 W Union Hills Dr Ste 100, Glendale, AZ 85308-1001 | 2007-07-26 |
| 1134330673 | Sher Institute for Reproductive Medicine Los Angeles Medical Group Inc | Obstetrics & Gynecology | 1520 E Chevy Chase Dr, Suite 101, Glendale, CA 91206-4106 | 2007-05-25 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on JOHN WAELTZ.
| 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.