Ronald N. Waltz, M.D., PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00013996 Issued in WA

Legal business name

RONALD N. WALTZ, M.D., PLLC

Practice address

21616 76TH Ave W
Suite 109
Edmonds, WA 98026-7512

Phone

(425) 670-6788

Fax

(425) 670-6795

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Newman Waltz, MD

Title

Owner

Phone

(425) 670-6788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1699162875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W",
            "address_2": "SUITE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267512",
            "telephone_number": "425-670-6788",
            "fax_number": "425-670-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W",
            "address_2": "SUITE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267512",
            "telephone_number": "425-670-6788",
            "fax_number": "425-670-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD N. WALTZ, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "NEWMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-670-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00013996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Rogers, MD
• Chelsea Rogers, OTR/L
• Mallory Rogers, RN
• Shawn E Rogers, M.D.
• Perrin E Romine, MD
• Katia Susanna Ronay, M.D.
• Sabrina Mary Rood, EDD
• Sarah Rood, LMFT
• Aysen C Rose, L.M.P
• Marc Rosenshein, M.D

• Family Medicine Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.