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DR. STEPHEN CONNER WIDMAN M.D. NPI 1346278512


NPI Information

NPI: 1346278512
Provider Name: DR. STEPHEN CONNER WIDMAN, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
455 CHASE PKWY
WATERBURY, CT
ZIP 06708
Phone: (203) 573-1435
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DR. Stephen Conner Widman, M.D. is an interventional cardiology internal medicine in Waterbury, CT with 40 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Stephen Conner Widman, M.D. NPI is 1346278512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

455 CHASE PKWY
WATERBURY, CT
ZIP 06708-352
Phone: (203) 573-1435
Fax: (203) 755-7433

The NPI 1346278512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease030739CONNECTICUTNo
2207UN0901XNuclear MedicineNuclear Cardiology030739CONNECTICUTNo
3207RI0011XInternal MedicineInterventional Cardiology030739CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10R0351OTHERCONNECTICUTHEALTH NET OF NORTHEAST
2D400039795MEDICARE PINCONNECTICUT
3110036141OTHERCONNECTICUTRAILROAD MEDICARE
4010030739CT01OTHERCONNECTICUTANTHEM BC & BS
51346278512MEDICAIDCONNECTICUT
6060000774MEDICARE PINCONNECTICUT
74127784OTHERCONNECTICUTAETNA HEALTH LANS
8B85396MEDICARE UPINCONNECTICUT
9010130739OTHERCONNECTICUTCIGNA HEALTH PLANS
10030739OTHERCONNECTICUTCONNECTICARE
11001307398MEDICAIDCONNECTICUT
12P381955OTHERCONNECTICUTOXFORD HEALTH PLANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.