Active NPI
John Franklin Wiltz, M.D.
- Pediatrics Physician
- Point Pleasant, WV
National Provider Identifier
1144311028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18090
- Practice address
- 2801 Jackson Ave
Point Pleasant, WV 25550-1713 - Phone
- (304) 675-4107
- Fax
- (304) 697-2086
- NPI assigned
- Sep 27, 2006
- Last updated
- May 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18090 | WV | Primary |
Addresses
Primary practice location
2801 Jackson Ave
Point Pleasant, WV 25550-1713
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 525-3334
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109733000 | Medicaid | WV | |
| 0189415 | Medicaid | OH | |
| 1104008481 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- PT Pleasant, WV
- NPI 1205908332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1144311028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1680",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257171680",
"telephone_number": "304-525-3334",
"fax_number": "304-697-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 JACKSON AVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255501713",
"telephone_number": "304-675-4107",
"fax_number": "304-697-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTZ",
"first_name": "JOHN",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "18090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109733000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0189415",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "1104008481",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.