Active NPI
John William Woltz, D.O.
- Family Medicine Physician
- Panama City Beach, FL
National Provider Identifier
1669544151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS16249
- Practice address
- 1002 N Arnold Rd Ste 102
Panama City Beach, FL 32413-2291 - Phone
- (850) 234-3087
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | OS16249 | FL | |
| Family Medicine Physician | 207Q00000X | OS16249 | FL | Primary |
Addresses
Primary practice location
1002 N Arnold Rd Ste 102
Panama City Beach, FL 32413-2291
Mailing address
651 Grand Panama Blvd BLDG B-2
Panama City Beach, FL 32407-3458
Phone (850) 234-3087
Other practice location 1
5701 Overseas Hwy Ste 17
Marathon, FL 33050-2784
Phone (305) 743-2253
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MF831 | Other | FL | MEDICARE |
| 106103300 | Medicaid | FL |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16249 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- johnwoltz@tmhpp.allscriptsdirect.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1487932422
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1669544151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 GRAND PANAMA BLVD BLDG B-2",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324073458",
"telephone_number": "850-234-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N ARNOLD RD STE 102",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324132291",
"telephone_number": "850-234-3087"
}
],
"practiceLocations": [
{
"address_1": "5701 Overseas Hwy Ste 17",
"address_purpose": "LOCATION",
"city": "Marathon",
"state": "FL",
"postal_code": "330502784",
"country_code": "US",
"telephone_number": "305-743-2253",
"fax_number": "305-743-0962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLTZ",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "OS16249",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS16249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MF831",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106103300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.