Walz Family Medicine, P.S.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02629 Issued in KY

Legal business name

WALZ FAMILY MEDICINE, P.S.C

Practice address

1000 Ashland Dr
Suite 105
Ashland, KY 41101-7084

Phone

(606) 327-0077

Fax

(606) 833-9453

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jon H. Walz Jr., D.O.

Title

Physician

Phone

(606) 327-0077

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1245251271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411390936",
            "telephone_number": "606-327-0077",
            "fax_number": "606-833-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR",
            "address_2": "SUITE 105",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017084",
            "telephone_number": "606-327-0077",
            "fax_number": "606-833-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALZ FAMILY MEDICINE, P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-327-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64990468",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Walker
• Lisa Ann Walters, LPCC
• Brittany Waltmire
• Walton Chiropractic, PLLC
• Jonathan Albert Walton, D.C.
• Jon H. Walz Jr., D.O.
• Chelsey Ward
• Elisha Nicole Ward
• Lucas Alan Ward
• Margaret B Ward, NP

• Family Medicine Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.