OTHON WILTZ (NPI# 1174525869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174525869 |
| Entity Type | Individual |
| Full Name | OTHON WILTZ |
| Credential | M.D. |
| Practice Address |
3620 Joseph Siewick Dr Ste 406 Fairfax VA 22033-1761 |
| Mailing Address |
3620 Joseph Siewick Dr Suite 406 Fairfax VA 22033 |
| Practice Telephone | 7033598640 |
| Practice Fax Number | 7035916105 |
| Mailing Telephone | 7033598640 |
| Mailing Fax Number | 7035916105 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 0101240155 | VA | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 11687 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1174525869 | 05 | |
| PR | CIGNA | 311678 | 01 |
| PR | SSS | 89937 | 01 |
| PR | MMM | 601049 | 01 |
| PR | PALIC | SE4019 | 01 |
| PR | LA CRUZ AZUL | 060957 | 01 |
| PR | IMC | 7113 | 01 |
| PR | HUMANA | 1400005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191519 | Othon H Wiltz | Colon & Rectal Surgery | 16349 Sw 76 St, Miami, FL 33193 | 2005-08-12 |
| Street Address |
3620 JOSEPH SIEWICK DR STE 406 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073097952 | Christine A Gilloon | Dietitian, Registered | 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427169507 | Fairfax Colon & Rectal Surgery, PC | Colon & Rectal Surgery | 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 | 2006-08-31 |
| 1710918438 | Northern Virginia Surgical Group, PC | Colon & Rectal Surgery | 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 | 2006-07-05 |
| 1497092944 | Christina Cheng | Colon & Rectal Surgery | 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 | 2013-01-03 |
| 1174563233 | William Seid | Colon & Rectal Surgery | 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952 | 2006-06-07 |
| 1245218684 | Virginia Surgery Associates, P.C. | Colon & Rectal Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2006-01-05 |
| 1104817857 | Paul E Savoca | Colon & Rectal Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073809281 | Mercy Danielle Wagner | Colon & Rectal Surgery | 260 John Paul Jones Cir, Portsmouth, VA 23708 | 2011-06-26 |
| 1497818025 | Chong S. Lee | Colon & Rectal Surgery | 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 | 2006-12-18 |
| 1720052285 | Gregory P Fitzharris | Colon & Rectal Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2006-02-13 |
| 1356311286 | Paul Jerome Kovalcik | Colon & Rectal Surgery | 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653 | 2006-01-24 |
| 1396725636 | Beth Rachelle Jaklic | Colon & Rectal Surgery | 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 | 2006-01-20 |
| 1598107674 | Virginia Hospital Center Physician Group, LLC | Colon & Rectal Surgery | 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 | 2013-07-18 |
| 1063733350 | Terry Paul Nickerson | Colon & Rectal Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-06-21 |
| 1326222779 | Brian Seth Buchberg | Colon & Rectal Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2007-12-20 |
| 1356520373 | Tawachai Onsanit | Colon & Rectal Surgery | 1020 Independence Blvd, Suite 204, Virginia Beach, VA 23455-5500 | 2007-10-26 |
| 1679765804 | Joseph Lawrence Frenkel | Colon & Rectal Surgery | 5818 Harbour View Blvd, Suite B-2, Suffolk, VA 23435-3315 | 2007-08-12 |
| 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.