Active NPI
Edward Joseph Walz Jr., MD
- Pediatric Anesthesiology Physician
- Centerville, OH
National Provider Identifier
1255304267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 35.066819
- Practice address
- 7815 Stonehouse CT
Centerville, OH 45459-5115 - Phone
- (937) 609-5839
- NPI assigned
- Feb 9, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 35.066819 | OH | Primary |
Addresses
Primary practice location
7815 Stonehouse CT
Centerville, OH 45459-5115
Mailing address
7815 Stonehouse CT
Centerville, OH 45459-5115
Phone (937) 609-5839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000541697 | Other | OH | ANTHEM |
| 0972112 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.066819 | OH | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Anesthesia Associates of Dayton, Inc. | Anesthesiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1447217096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1255304267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 STONEHOUSE CT",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454595115",
"telephone_number": "937-609-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7815 STONEHOUSE CT",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454595115",
"telephone_number": "937-609-5839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALZ",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "OH",
"license": "35.066819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000541697",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0972112",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.