Mark A Waeltz, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME0067947 Issued in FL

Practice address

10131 Forest Hill Blvd Ste 206
Wellington, FL 33414-6109

Phone

(561) 798-6600

Fax

(561) 753-3328

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Orthopedic Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Bone and Joint Surgery of the Palm Beaches, P.a.Group PAC ID 3678568227, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network
• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mark.waeltz.1@22724.direct.athenahealth.com

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.

• Center for Bone & Joint Surgery of the Palm Beaches, P.a.

  • Orthopaedic Surgery Physician
  • Wellington, FL
  • NPI 1457326761
  Medicare reassignment Care Compare group NPD
• Center for Bone & Joint Surgery of the Palm Beaches, P.a.

  • Orthopaedic Surgery Physician
  • Wellington, FL
  • NPI 1891656468
  NPD

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1992787147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 230",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAELTZ",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME67947",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME0067947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378102000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Vizcaino, MD
• Meredith Anne Vorrath, A.P.
• VP First Assistant Services,LLC
• W-SRC Wellington Owner GP IX, L.L.C.
• Monica C Wacks, MS, RMHCI
• Walgreen Co
• Walgreen Co.
• Jenna Walker, APRN
• Maxene Walker, ADMINISTRATOR
• Katie Wallace

• Orthopaedic Surgery of the Spine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.