DR. DOUGLAS B WIDENER M.D. NPI 1104088566

NPI Information

  • NPI: 1104088566
  • Provider Name: DR. DOUGLAS B WIDENER, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1495 HICKORY FLAT HWY STE 200
    CANTON, GA
    ZIP 30115
  • Phone: (678) 505-4455

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NPI Details

DR. Douglas B Widener, M.D. is an orthopaedic surgery in Canton, GA with 17 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Douglas B Widener, M.D. NPI is 1104088566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1495 HICKORY FLAT HWY STE 200
CANTON, GA
ZIP 30115-229
Phone: (678) 505-4455
Fax: (678) 505-4446

The NPI 1104088566 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.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg (HCPCS:J7332)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 6/27/2008 and was last updated on 9/15/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery063452GEORGIAYes

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: 3/30/2025

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