Michael L. Koltz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35-051603 Issued in OH

Practice address

5901 Monclova Rd
Maumee, OH 43537-1855

Phone

(419) 893-5968

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Emergency Treatment Corporation

  • Emergency Medicine Physician
  • Maumee, OH
  • NPI 1437111861
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1033180237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371841",
            "telephone_number": "419-893-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371855",
            "telephone_number": "419-893-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTZ",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-051603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0579879",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Klopfenstein, M.D.
• Paige Kluge, PHARMD
• Jeffrey Lee Koepfler, D.C.
• Dan Koester, CDCA
• Carol R Kollarits, M.D.
• Melisa Ann Konesni
• Amy Konieczny, DPT
• Olivia Kosek
• Laura Susanne Kovacik, PHYSICIAN ASSISTANT
• Charlotte E Kramer, SLP

• Emergency Medicine Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.