REBECCA W WIDENER MD. NPI 1831352368

NPI Information

NPI: 1831352368
Provider Name: REBECCA W WIDENER, MD.
Classification: Pediatrics - 2080P0208X
Entity Type: Individual

Specialization: Pediatric Infectious Diseases

PECOS Registration: Yes

Address:
9 RICHLAND MEDICAL PARK DR STE 210
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-7995
Get Directions

Rebecca W Widener, MD. is a pediatric infectious diseases pediatrics in Columbia, SC. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. Rebecca W Widener, MD. NPI is 1831352368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR STE 210
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 434-7995
Fax: (803) 434-7983

The NPI 1831352368 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 7/3/2008 and was last updated on 3/21/2018.

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	208000000X	Pediatrics		41967	KENTUCKY	No
2	208000000X	Pediatrics		29634	ALABAMA	No
3	208000000X	Pediatrics		34493	SOUTH CAROLINA	No
4	2080P0208X	Pediatrics	Pediatric Infectious Diseases	34493	SOUTH 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	AA89852389	OTHER	SOUTH CAROLINA	MEDICARE PTAN
2	344933	MEDICAID	SOUTH CAROLINA
3	112097	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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