DAVID J. WIDMYER D.O. – NPI #1396972246
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

DAVID WIDMYER is a physician located in VENICE, FL. NPPES has assigned the NPI number 1396972246 to DAVID WIDMYER on June 18, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Aug 28, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID WIDMYER below.

NPI Profile for
DAVID J. WIDMYER

NPI Number
1396972246
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID J. WIDMYER
Credentials
D.O.
Primary location
1500 E VENICE AVE UNIT 103
VENICE, FL 34292
Phone: (941) 485-4700 Fax: (941) 485-2888
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 FL OS15121
207R00000X
- Internal Medicine		 PA OS016250

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE - Graduated 2009
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DAVID WIDMYER is affiliated with the following medical group(s):
  • HOSPITAL
    • SARASOTA MEMORIAL HOSPITAL
      1700 S TAMIAMI TRL
      SARASOTA, FL 34239
    • SARASOTA MEMORIAL HOSPITAL - VENICE
      2600 LAUREL RD E
      NORTH VENICE, FL 34275
    • VENICE REGIONAL BAYFRONT HEALTH
      540 THE RIALTO
      VENICE, FL 34285
  • DIALYSIS FACILITY
    • DAVITA VENICE DIALYSIS CENTER
      816 PINEBROOK RD
      VENICE, FL 34285
    • FMC - VENICE
      1120 INDIAN HILLS BLVD
      VENICE, FL 34293

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