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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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
1	174400000X	Specialist		28380	NORTH CAROLINA	Yes

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
1	87271	OTHER	NORTH CAROLINA	BCBSNC
2	C82421	MEDICARE UPIN	NORTH CAROLINA
3	8987271	MEDICAID	NORTH CAROLINA
4	213451	MEDICARE ID-TYPE UNSPECIFIED	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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