JOHN WAELTZ M.D.
NPI 1174638621
Obstetrics & Gynecology in Glendale, WI

Active since August 21, 2006
4655 N PORT WASHINGTON RD, SUITE 100, GLENDALE, WI 53212(414) 961-7444(414) 961-7445 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Waeltz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN WAELTZ M.D. (NPI 1174638621) is an individual obstetrics & gynecology provider in Glendale, Wisconsin, licensed in Wisconsin (26524) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174638621
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN WAELTZCredential: M.D.
Location Address4655 N PORT WASHINGTON RD, SUITE 100Glendale, WI 53212-1004
Mailing Address4655 N Port Washington Rd, Suite 100Glendale, WI 53212-1004 · (414) 961-7444 · Fax (414) 961-7445
Fax(414) 961-7445
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateOctober 31, 2008
NPI 1174638621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 26524
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4655 N PORT WASHINGTON RD, Glendale, WI 53212

Other Identifiers 2

Medicare UPINB57392WI
Medicaid30767800WI

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Obstetrics & Gynecology
4655 N PORT WASHINGTON RD, SUITE 100
GLENDALE, WI 53212
Nurse Practitioner (Family)
4655 N PORT WASHINGTON RD, SUITE 325
GLENDALE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
MILWAUKEE, WI 53212
Nurse Practitioner (Family)
4655 N PORT WASHINGTON RD, STE 325
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Waeltz's NPI number?

The NPI number for John Waeltz is 1174638621. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is John Waeltz located?

John Waeltz practices at 4655 N Port Washington Rd Suite 100, Glendale, WI 53212. The listed phone number is (414) 961-7444.

What is John Waeltz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for John Waeltz was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.