DR. JERAD E WIDMAN (NPI# 1083655039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083655039 |
| Entity Type | Individual |
| Full Name | DR. JERAD E WIDMAN |
| Credential | M.D. |
| Practice Address |
22450 S Harrison St Ste. 100 Spring Hill KS 66083-3151 |
| Mailing Address |
22450 S Harrison St Ste 100 Spring Hill KS 66083-3151 |
| Practice Telephone | 9135922720 |
| Practice Fax Number | 9135922725 |
| Mailing Telephone | 9135922720 |
| Mailing Fax Number | 9135922725 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-30763 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200300220D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 N College St, Albany, MO 644021433 | 6607263941 | 6607263946 |
| Street Address |
22450 S HARRISON ST STE. 100 |
| City | SPRING HILL |
| State | KS |
| Zip Code | 66083-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539486 | Kurtis Edward Echols | Dentist | 22450 S Harrison St, Suite 102, Spring Hill, KS 66083-3151 | 2005-09-23 |
| 1669097036 | A Conscious Peace LLC | Clinic/Center | 22450 S Harrison St, Spring Hill, KS 66083-3151 | 2020-06-11 |
| 1285979880 | Daniel Jason Harding | Chiropractor | 22450 S Harrison St, Suite 101, Spring Hill, KS 66083-3151 | 2012-12-07 |
| 1700121308 | Daniel J. Harding D.c., LLC | Chiropractor | 22450 S Harrison St, Suite 101, Spring Hill, KS 66083-3151 | 2012-12-07 |
| 1538472550 | Samantha Marie Schroeder | Physician Assistant | 22450 S Harrison St, Suite 100, Spring Hill, KS 66083-3151 | 2010-07-19 |
| 1871780825 | Jerad Widman | Family Medicine | 22450 S Harrison St, Suite 100, Spring Hill, KS 66083-8882 | 2007-10-03 |
| 1730371253 | Spring Hill Family Dentistry, Pa | Dentist | 22450 S Harrison St, Suite 102, Spring Hill, KS 66083-3151 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619429610 | Madison Claire Smith | Student in an Organized Health Care Education/Training Program | 30177 Pinecrest Dr., Spring Hill, KS 66083 | 2016-10-26 |
| 1063505683 | Assisted Lifestyles of Blackhawk Inc. | Assisted Living Facility | 22550 S. Franklin, Spring Hill, KS 66083 | 2006-10-02 |
| 1760402077 | Spring Hill Usd 230 | Local Education Agency (LEA) | 101 E South St, Spring Hill, KS 66083 | 2006-07-20 |
| 1386154953 | Serc Rehabilitation Partners, LLC | Occupational Therapist | 21161 W 223rd St, Spring Hill, KS 66083-3042 | 2017-10-09 |
| 1639406713 | Expedient Care | Durable Medical Equipment & Medical Supplies | 22368 S Harrison St, Spring Hill, KS 66083-3148 | 2009-11-10 |
| 1508937525 | Queen-morris Ventures LLC | Pharmacy | 22350 S Harrison St, Spring Hill, KS 66083-3148 | 2006-11-13 |
| 1467414094 | Joseph F Mcdonnell | Emergency Medicine | 22386 S Harrison St, Spring Hill, KS 66083-3148 | 2006-04-06 |
| 1932538535 | Spring Hill Family Medicine Express | Clinic/Center | 22386 S Harrison St, Spring Hill, KS 66083-3148 | 2013-11-04 |
| 1336326883 | Simplecare, LLC | Clinic/Center | 22386 S Harrison St, Spring Hill, KS 66083-3148 | 2008-01-28 |
| 1609898048 | Matthew Robert Metcalf | Chiropractor | 22386 S Harrison St, Spring Hill, KS 66083-3148 | 2006-07-24 |
| Find all providers in zip 66083 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720551047 | Matrix Health Options, LLC. | Family Medicine | 5258 Applegate Dr, Spring Hill, FL 34606-4507 | 2019-01-09 |
| 1114402351 | Florida Wellness Injury Center | Family Medicine | 2412 Commercial Way, Spring Hill, FL 34606-3518 | 2018-10-02 |
| 1033560941 | David Frankel | Family Medicine | 8425 Northcliffe Blvd Ste 110, Spring Hill, FL 34606-1107 | 2016-06-22 |
| 1639551369 | Christiana Bediako | Family Medicine | 1609 Zurich Dr, Spring Hill, TN 37174-7181 | 2015-06-18 |
| 1487067963 | Sean Cannady | Family Medicine | 5421 Main St Ste 1, Spring Hill, TN 37174-4411 | 2014-06-03 |
| 1053722009 | Lauren Michele Dedea | Family Medicine | 8425 Northcliffe Blvd Ste 111&109, Spring Hill, FL 34606-1107 | 2014-05-13 |
| 1740545292 | Daisy Saavedra Rodriguez | Family Medicine | 8425 Northcliffe Blvd Ste 105, Spring Hill, FL 34606-1107 | 2012-07-11 |
| 1962635144 | Proactive Care Medical Group Pa | Family Medicine | 5196 Mariner Boulevard, Spring Hill, FL 34609-1802 | 2009-09-03 |
| 1265669238 | Jeremy L Tharp | Family Medicine | 120 Medical Blvd Ste 102, Spring Hill, FL 34609-0221 | 2009-06-17 |
| 1912133257 | Laura R Shea | Family Medicine | 8425 Northcliffe Blvd Ste 111, Spring Hill, FL 34606-1107 | 2009-06-01 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 66083 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.