MR. CLEVELAND WILTZ (NPI# 1912132044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912132044 |
| Entity Type | Individual |
| Full Name | MR. CLEVELAND WILTZ |
| Practice Address |
162 Dodd Blvd Ste 100 Langley Afb VA 23665-1916 |
| Mailing Address |
813 Hamder Way Newport News VA 23602-9607 |
| Practice Telephone | 7577641299 |
| Practice Fax Number | 7572259941 |
| Mailing Telephone | 7578900593 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
162 DODD BLVD STE 100 |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652086 | Brittany Chalayne Hammock | Technician, Other | 2601 Willard Rd Ste 105, Richmond, VA 23294-3638 | 2020-02-28 |
| 1396379715 | Cerice White | Technician, Other | 508 W 38th St, Norfolk, VA 23508-3123 | 2020-02-25 |
| 1003450123 | Seyyed Hadi Roghani | Technician, Other | 7500 Bull Run Dr # 20121, Centreville, VA 20121-2501 | 2019-10-31 |
| 1952806770 | Latifah Ebony Smith | Technician, Other | 5216 Leavells Crossing Dr, Fredericksburg, VA 22407-7706 | 2018-03-25 |
| 1467965632 | Thuy Ngoc Ly | Technician, Other | 186 Meadowview Ln, Warrenton, VA 20186-3847 | 2017-11-09 |
| 1790204196 | Virginia Lice Removal, LLC | Technician, Other | 1901 Huguenot Rd Ste 101, North Chesterfield, VA 23235-4311 | 2017-09-17 |
| 1760922975 | Jacobra LLC | Technician, Other | 455 Carlisle Dr Ste B, Herndon, VA 20170-5621 | 2017-03-07 |
| 1780045054 | Tiffany Marie Seick | Technician, Other | 4901 Falcon Creek Way, Apt 302, Hampton, VA 23666-0608 | 2016-03-15 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1144611351 | Vonda S George | Technician, Other | 5366 Palmyra Ct, Va Beach, VA 23462-3543 | 2015-02-10 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.