Darrell Leroy Widmer (NPI# 1629048079, PAC ID# 3375632060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1629048079 |
PAC ID by PECOS | 3375632060 |
Professional Enrollment ID | I20071203000740 |
Full Name | Darrell Leroy Widmer |
Organization Legal Name | SUMMA PHYSICIANS INC |
Address |
25 S Main St B Rittman OH 44270-1900 |
Phone Number | 3309253857 |
Gender | M |
Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2961303532 |
Number of Group Practice Members | 531 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360020 | SUMMA HEALTH SYSTEM |
360036 | WOOSTER COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
525 E Market St, Akron, OH 44304-1619 | SUMMA PHYSICIANS INC | |
25 S Main St B, Rittman, OH 44270-1900 | 3309253857 | SUMMA PHYSICIANS INC |
Organization Legal Name | SUMMA PHYSICIANS INC |
Physicians | 549 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason R Casey | Nurse Practitioner | Summa Physicians Inc | 155 5th St Ne, Barberton, OH 44203-3332 |
Jonathan R Oldaker | Physician Assistant | Summa Physicians Inc | 28 Conservatory Dr, Suite C, Barberton, OH 44203-4275 |
Donald C Perrine Iii | Pain Management | Summa Physicians Inc | 1493 S Hawkins Ave, Akron, OH 44320-3416 |
Tiffany N Mccann | Critical Care (intensivists) | Summa Physicians Inc | 95 Arch St, Suite 215, Akron, OH 44304-1467 |
Tessa Wilson | Clinical Social Worker | Summa Physicians Inc | 55 Arch St, 3a, Akron, OH 44304-1447 |
Moira Forester | Nurse Practitioner | Summa Physicians Inc | 275 Graham Rd, Suite 11, Cuyahoga Falls, OH 44223-2259 |
Bridgett M Hoover | Nurse Practitioner | Summa Physicians Inc | 265 Portage Trail Ext W, Suite 200, Cuyahoga Falls, OH 44223-3613 |
Courtney M Nock | Physician Assistant | Summa Physicians Inc | 161 N Forge St, Suite 298, Akron, OH 44304-1483 |
Sonia Vasil | Certified Clinical Nurse Specialist (cns) | Summa Physicians Inc | 1260 Independence Ave, Akron, OH 44310-1812 |
Sonia Shetal Shah | Psychiatry | Summa Physicians Inc | 444 N Main St 4th Floor, Akron, OH 44310-3110 |
Street Address |
25 S MAIN ST B |
City | RITTMAN |
State | OH |
Zip | 44270-1900 |
Name | Specialty | Organization | Address |
---|---|---|---|
Holly S Lewis | Nurse Practitioner | Summa Physicians Inc | 25 S Main St B, Rittman, OH 44270-1900 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeannie J Gombaski | Nurse Practitioner | Summa Physicians Inc | 223 N Main St, Rittman, OH 44270-1140 |
Eugene F Petrilla | Family Medicine | Summa Physicians Inc | 223 N Main St, Rittman, OH 44270-1140 |
Paul E Fracasso | Family Medicine | Summa Physicians Inc | 223 N Main St, Rittman, OH 44270-1140 |
Kristen D Eash | Chiropractic | 14 S Main St, Suite 101, Rittman, OH 44270-1438 | |
Gary L Unsdorfer | Podiatry | 5 N Main St, Rittman, OH 44270-1469 | |
Sharon A Kephart | Clinical Social Worker | Counseling Center of Wayne and Holmes Counties | 8 N Main St, Rittman, OH 44270-1482 |
City | RITTMAN |
Zip Code | 44270 |
Specialty | FAMILY MEDICINE |
City + Specialty | RITTMAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Darrell Leroy Widmer.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.