LARRY A WIDNER M.D. NPI 1215915210

NPI Information

  • NPI: 1215915210
  • Provider Name: LARRY A WIDNER, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 624 QUAKER LN
    SUITE 117-B
    HIGH POINT, NC
    ZIP 27262
  • Phone: (336) 882-1416

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NPI Details

Larry A Widner, M.D. is a specialist in High Point, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Larry A Widner, M.D. NPI is 1215915210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

624 QUAKER LN
SUITE 117-B
HIGH POINT, NC
ZIP 27262-832
Phone: (336) 882-1416
Fax: (336) 882-7691

The enumeration date for this NPI number is 1/9/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialist28380NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
187271OTHERNORTH CAROLINABCBSNC
2C82421MEDICARE UPINNORTH CAROLINA
38987271MEDICAIDNORTH CAROLINA
4213451MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

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: 11/21/2025

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