John F. Wiltz PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18090 Issued in WV

Legal business name

JOHN F. WILTZ PLLC

Practice address

2801 Jackson Ave
PT Pleasant, WV 25550-1713

Phone

(304) 675-4107

Fax

(304) 675-4233

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John F. Wiltz, M.D.

Title

Doctor

Phone

(304) 675-4107

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205908332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 JACKSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501713",
            "telephone_number": "304-675-4107",
            "fax_number": "304-675-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 JACKSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501713",
            "telephone_number": "304-675-4107",
            "fax_number": "304-675-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. WILTZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-675-4107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Harris
• Rachelle A Hill, CFNP
• Monte Hoffman
• Robert M Holley, MD
• Ismael Ortego Jamora, MD
• Kennerly Surgical PLLC
• Erin Kirk, M.A., ED.S
• Nancy Beth Lares, MD
• Mason County Action Group Inc
• Mason County Action Group Inc

• Pediatrics Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.