MR. BENJAMIN L WIDDER (NPI# 1174597603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174597603 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN L WIDDER |
| Credential | ATC |
| Practice Address |
4 Forge Rd Boiling Springs PA 17007-9444 |
| Mailing Address |
293 Kauffman Rd E Chambersburg PA 17201-9247 |
| Practice Telephone | 7172586484 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT000941A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4 FORGE RD |
| City | BOILING SPRINGS |
| State | PA |
| Zip Code | 17007-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730332941 | Capital Area Intermediae Unit | Clinic/Center | 1240 Boiling Springs Road, Monroe Elementary School, Boiling Springs, PA 17007 | 2008-10-31 |
| 1912392317 | Casey J Williams, Dmd | Dentist | 210 Forge Rd, Suite 1, Boiling Springs, PA 17007 | 2015-04-02 |
| 1144408865 | Nancy J Kschinka | Acupuncturist | 101 Front St., Box 189, Boiling Springs, PA 17007-0189 | 2008-02-05 |
| 1356374037 | Yellow Breeches Family Practice Center | Family Medicine | 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 | 2006-07-08 |
| 1588072383 | Spirit Physician Services, Inc. | Family Medicine | 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 | 2014-07-25 |
| 1053335182 | Mary V Franco | Nurse Practitioner | 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 | 2006-07-26 |
| 1508891375 | Donald J Kovacs | Family Medicine | 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 | 2006-07-11 |
| 1417982281 | Bradford J Wood | Family Medicine | 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 | 2006-07-11 |
| 1255783957 | Matthew Ryan Clugh | Counselor | 20 Sheeley Ln, Boiling Springs, PA 17007-9436 | 2016-07-06 |
| 1952746901 | Donald Kistler Roeder | General Practice | 16 Meadowood Pl, Boiling Springs, PA 17007-9449 | 2013-05-03 |
| Find all providers in zip 17007 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306349410 | Justin Lewis | Specialist/Technologist | 5 Hope Dr, Boiling Springs, PA 17007-9756 | 2018-03-14 |
| 1114274487 | Alyss Hart | Specialist/Technologist | 660 Cotton Branch Dr, Boiling Springs, SC 29316-6808 | 2012-08-06 |
| 1043770886 | Sarah Blair Rabe | Specialist/Technologist | 110 S. Main St., Campus 7218, Boiling Springs, NC 28017 | 2019-03-20 |
| 1699234369 | Joseph William Medel | Specialist/Technologist | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-03-13 |
| 1194271288 | Ashley Miles | Specialist/Technologist | 110 S Main St, Box 877, Boiling Springs, NC 28017-9797 | 2016-08-29 |
| 1316398241 | Nigel Fung-a-fat Jr. | Specialist/Technologist | 110 S Main St, Football Center, Boiling Springs, NC 28017-9797 | 2016-06-22 |
| 1144692328 | Hannah Hertel | Specialist/Technologist | 110 S Main St, Boiling Springs, NC 28017-9797 | 2015-10-27 |
| 1093198962 | Kristine Michele Ziglar | Specialist/Technologist | 110 S Main St, Boiling Springs, NC 28017-9797 | 2015-07-09 |
| 1679956544 | Kyle William Jones | Specialist/Technologist | 110 S Main St, Athletic Training Football Center, Boiling Springs, NC 28017-9797 | 2015-07-09 |
| 1053717892 | Kristin Rosalie Bockelman | Specialist/Technologist | 110 S Main St, Boiling Springs, NC 28017-9797 | 2014-11-06 |
| Find all providers in BOILING SPRINGS | ||||
| City | BOILING SPRINGS |
| Zip Code | 17007 |
Please comment or provide details below to improve the information on MR. BENJAMIN L WIDDER.
| 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.