Jon H. Walz Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02629 Issued in KY

Practice address

1000 Ashland Dr
Suite 105
Ashland, KY 41101-7057

Phone

(606) 327-0077

Fax

(606) 833-9453

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greenup Health and Wellness

  • Primary Care Clinic/Center
  • Greenup, KY
  • NPI 1245126424
  Medicare reassignment NPD Authorized official
• 24 On Physicians, PC

  • Hospitalist Physician
  • Danville, KY
  • NPI 1679522346
  Medicare reassignment NPD
• Ephraim McDowell Health Resource, Inc.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1487708533
  Medicare reassignment NPD
• Fresh Start Health PSC

  • Neurological Surgery Physician
  • Ashland, KY
  • NPI 1487143806
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY

  Medicare reassignment NPD
• Ephraim McDowell Health Resource, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, KY
  • NPI 1174484463

  Family Medicine

  NPD
• Ephraim McDowell Health Resource, Inc

  • Family Medicine Physician
  • Danville, KY
  • NPI 1669803375
  NPD
• Fresh Start Health PSC

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1700607918
  NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Fresh Start Health PSC

  • Rural Health Clinic/Center
  • Grayson, KY
  • NPI 1477206886
  NPD (past)
• Our Lady of Bellefonte Hospital, Inc.

  • Nurse Practitioner
  • Ashland, KY
  • NPI 1457545543
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1871544817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PONDER CT",
            "address_2": "STE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "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": "411017057",
            "telephone_number": "606-327-0077",
            "fax_number": "606-833-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "JON",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64990468",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Walters, LPCC
• Brittany Waltmire
• Walton Chiropractic, PLLC
• Jonathan Albert Walton, D.C.
• Walz Family Medicine, P.S.C
• Chelsey Ward
• Elisha Nicole Ward
• Lucas Alan Ward
• Margaret B Ward, NP
• Nathan Ward

• 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 Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.