Active NPI
Gary W Waltz, MD
- Psychiatry Physician
- Akron, OH
National Provider Identifier
1720151814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35-044019
- Practice address
- 157 W Cedar St
B-3
Akron, OH 44307-2564 - Phone
- (330) 434-2062
- Fax
- (330) 434-0783
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-044019 | OH | Primary |
Addresses
Primary practice location
157 W Cedar St
B-3
Akron, OH 44307-2564
Mailing address
30 E Broad St
11TH Floor
Columbus, OH 43215-3414
Phone (614) 466-6583
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-044019 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and MGMT, State Accounting | Past | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Psychiatry | Past | Accepting new patients |
| Windsor Hospital | Past | Accepting new patients | |
| Gma Consultants Inc | Past | Accepting new patients | |
| Diane Eden, MD & Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1811915713
-
- Case Management Agency
- Youngstown, OH
- NPI 1467421438
-
- Psychiatric Hospital Unit
- Chagrin Falls, OH
- NPI 1073568994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720151814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E BROAD ST",
"address_2": "11TH FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153414",
"telephone_number": "614-466-6583",
"fax_number": "614-644-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 W CEDAR ST",
"address_2": "B-3",
"city": "AKRON",
"state": "OH",
"postal_code": "443072564",
"telephone_number": "330-434-2062",
"fax_number": "330-434-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTZ",
"first_name": "GARY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-044019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.