JOHN WAELTZ


Address: 4655 N Port Washington Rd, Suite 100, Glendale, WI 53212-1004
Phone: 4149617444

JOHN WAELTZ (NPI# 1174638621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 26524 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30767800 05

Office Location

Street Address 4655 N PORT WASHINGTON RD
SUITE 100
City GLENDALE
State WI
Zip Code 53212-1004

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City GLENDALE
Zip Code 53212

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Dataset Information

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.

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