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FRED F WOLTZ III CST
NPI 1902043482
Specialist/Technologist, Other - Surgical Assistant in Normal, IL

Active since January 20, 2009
1604 VISA DR STE 1, NORMAL, IL 61761(309) 846-4716 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fred F Woltz Iii Cst NPPES

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

FRED F WOLTZ III CST (NPI 1902043482) is an individual surgical assistant in Normal, Illinois and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1902043482
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameFRED F WOLTZ IIICredential: CST
Location Address1604 VISA DR STE 1Normal, IL 61761-2195
Mailing Address1604 Visa Dr Ste 1Normal, IL 61761-2195 · (309) 846-4716
Phone(309) 846-4716
Sole ProprietorNo
Enumeration DateJanuary 20, 2009
✔ NPI 1902043482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

1604 VISA DR STE 1, Normal, IL 61761
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Other Providers at the Same Location NPPES 20

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

CANDI HAZELWONDER CST
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
KENT PETERSEN RN
Registered Nurse
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MR. HESTON J ALLRED
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
YULIA GULAY
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MS. DESIREE A PADILLA IONM TECHNOLOGIST
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
JULIE L DIETERMAN RN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
STACEY J GIESE RN
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
EMILY WOLF CST
Physician Assistant (Surgical)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716

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 Fred Woltz's NPI number?

The NPI number for Fred Woltz is 1902043482. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Fred Woltz located?

Fred Woltz practices at 1604 Visa Dr Ste 1, Normal, IL 61761. The listed phone number is (309) 846-4716.

What is Fred Woltz's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Fred Woltz was last updated on January 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.