DR. DAVID MICHAEL WIDLUS M.D. NPI 1730107525

NPI Information

NPI: 1730107525
Provider Name: DR. DAVID MICHAEL WIDLUS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
22 S GREENE ST
ROOM N2E16
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-5656
Get Directions

DR. David Michael Widlus, M.D. is a diagnostic radiology radiology in Baltimore, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. David Michael Widlus, M.D. NPI is 1730107525. 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:

22 S GREENE ST
ROOM N2E16
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-5656
Fax: (410) 328-2115

The NPI 1730107525 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 enumeration date for this NPI number is 7/18/2006 and was last updated on 12/27/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	D0035001	MARYLAND	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	B67156	MEDICARE UPIN	MARYLAND
2	J857	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND	MEDICARE IPIN
3	561371000	MEDICAID	MARYLAND
4	H380J857	MEDICARE PIN	MARYLAND

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

NPI Synchronization or Removal

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