Cleveland Wiltz

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

162 Dodd Blvd Ste 100
Langley AFB, VA 23665-1916

Phone

(757) 764-1299

Fax

(757) 225-9941

NPI assigned

May 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1912132044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HAMDER WAY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029607",
            "telephone_number": "757-890-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 DODD BLVD STE 100",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236651916",
            "telephone_number": "757-764-1299",
            "fax_number": "757-225-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "CLEVELAND",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usaf
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• Eddie C Webb, IDMT
• Danielle Marie Werling, RN
• Diana Zaichenko, MSAT, LAT, ATC
• Jessica Zerbe, AU.D.

• Other Technician in Langley AFB, VA
• Providers in Langley AFB, VA by specialty
• Other Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.