CODY BOLTZ D.O. - NPI 1245934074 - Student in an Organized Health Care Education/Training Program in Hillsboro, OH

Q: What is Cody Boltz's NPI number?

The NPI number for Cody Boltz is 1245934074. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Cody Boltz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Boltz was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Cody Boltz D.o. NPPES

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

CODY BOLTZ D.O. (NPI 1245934074) is an individual student in an organized health care education/training program in Hillsboro, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245934074

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCODY BOLTZCredential: D.O.

Location Address1108 NORTHVIEW DR STE 1Hillsboro, OH 45133-1191

Mailing Address1108 Northview Dr Ste 1Hillsboro, OH 45133-1191 · (937) 393-5781 · Fax (937) 393-5784

Phone(570) 343-2383

Sole ProprietorYes

Enumeration DateMarch 27, 2023

Last NPPES UpdateJune 1, 20232 updates tracked since enumeration

NPPES CertifiedJune 1, 2023

✔ NPI 1245934074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1108 NORTHVIEW DR STE 1, Hillsboro, OH 45133

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Boltz D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

NICHOL MARIE MCHALE D.O.

Family Medicine