Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CODY BOLTZ D.O.
NPI 1245934074
Student in an Organized Health Care Education/Training Program in Athens, 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 September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since March 27, 2023PECOS Enrolled

206 COLUMBUS RD STE 203, ATHENS, OH 45701(740) 331-6910(740) 331-6919 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Jun 1, 2023, Mar 27, 2023 (3 updates tracked since 2023).

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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 Athens, 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 Address206 COLUMBUS RD STE 203Athens, OH 45701-1316

Mailing Address416 Colegate Dr Bldg 3Marietta, OH 45750-9549 · (740) 374-3526 · Fax (740) 374-3165

Phone(740) 331-6910

Fax(740) 331-6919

Sole ProprietorYes

Enumeration DateMarch 27, 2023

Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ 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.

206 COLUMBUS RD STE 203, Athens, OH 45701

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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 6

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

LAURA L HOCTER-OUSLEY DO

Family Medicine