RUSSELL WALTER WIDDOWS NPI 1255902235

NPI Information

  • NPI: 1255902235
  • Provider Name: RUSSELL WALTER WIDDOWS
  • Classification: Technician - 3747A0650X
  • Specialization: Attendant Care Provider
  • Entity Type: Individual
  • Address: 14801 TRISKETT RD
    CLEVELAND, OH
    ZIP 44111
  • Phone: (216) 399-3492

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NPI Details

Russell Walter Widdows is an attendant care provider technician in Cleveland, OH. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Russell Walter Widdows NPI is 1255902235. 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:

14801 TRISKETT RD
CLEVELAND, OH
ZIP 44111-193
Phone: (216) 399-3492
Fax: (216) 938-8733

The enumeration date for this NPI number is 7/9/2021 and was last updated on 7/9/2021.

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
13747A0650XTechnicianAttendant Care ProviderYes

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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