Othon Wiltz is a Colon & Rectal Surgery in Fairfax, Virginia. Othon Wiltz practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Othon Wiltz is 1174525869. The last update date is 2017-07-25.
Othon Wiltz's current location address is 3620 Joseph Siewick Dr, Fairfax, Virginia. You can contact this provider via phone number 7033598640 and fax number 7035916105. The mailing address for Othon Wiltz is 3620 Joseph Siewick Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Othon Wiltz |
|---|---|
| Address | 3620 Joseph Siewick Dr, Fairfax, Virginia |
| Phone Number | 7033598640 |
| Fax Number | 7035916105 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174525869 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2017-07-25 |
Provider Mailing Address Detail
| Address | 3620 Joseph Siewick Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 22033 |
| Phone Number | 7033598640 |
| Fax Number | 7035916105 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 101240155 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60957 | PR | LA CRUZ AZUL | |
| 601049 | PR | MMM | |
| SE4019 | PR | PALIC | |
| 1174525869 | VA | -- | |
| 1400005 | PR | HUMANA | |
| 311678 | PR | CIGNA | |
| 7113 | PR | IMC | |
| 89937 | PR | SSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Othon Wiltz by the Centers for Medicare & Medicaid Services?
The Othon Wiltz has been issued the NPI (National Provider Identifier) 1174525869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Othon Wiltz is physically located?
The Othon Wiltz is physically situated at the following address: 3620 Joseph Siewick Dr, Fairfax, VA, 22033.
What is Othon Wiltz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Othon Wiltz is Colon & Rectal Surgery, and the corresponding taxonomy classification code for this specialized field is 208C00000X.
On what date did the Othon Wiltz receive the assignment of its 1174525869 from the Centers for Medicare & Medicaid Services?
The Othon Wiltz was issued its 1174525869 by the Centers for Medicare & Medicaid Services on 2005-08-11.
As of what date were the details pertaining to Othon Wiltz last refreshed?
The information related to the Othon Wiltz, including its address, specialty, and other relevant details, was last updated on 2017-07-25.