Lawrence Widerlite (NPI# 1750350294, PAC ID# 5799851143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1750350294 |
| PAC ID by PECOS | 5799851143 |
| Professional Enrollment ID | I20081219000018 |
| Full Name | Lawrence Widerlite |
| Organization Legal Name | CAPITAL DIGESTIVE CARE LLC |
| Address |
2021 K St Nw Suite T 110 Washington DC 20061-1036 |
| Phone Number | 2022963449 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1967 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3870669419 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090005 | SIBLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10215 Fernwood Rd, Suite 404, Bethesda, MD 20817-1191 | 2407370085 | CAPITAL DIGESTIVE CARE LLC |
| 5550 Friendship Blvd, T90, Chevy Chase, MD 20815-7313 | 2407370080 | CAPITAL DIGESTIVE CARE LLC |
| 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 | 2022963449 | CAPITAL DIGESTIVE CARE LLC |
| Organization Legal Name | CAPITAL DIGESTIVE CARE LLC |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zhengtong Pei | Pathology | Capital Digestive Care LLC | 4831 Telsa Dr F, Bowie, MD 20715-4328 |
| Jennifer Lang | Nurse Practitioner | Capital Digestive Care LLC | 5550 Friendship Blvd, T90, Chevy Chase, MD 20815-7313 |
| Lawrence A Bassin | Gastroenterology | Capital Digestive Care LLC | 14955 Shady Grove Rd, Suite 150, Rockville, MD 20850-8725 |
| Kelly A Mercado | Nurse Practitioner | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Roderick B Kreisberg | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Michael J Schwartz | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Dominique E Howard | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| George Bolen | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Amy G. Shah | Gastroenterology | Capital Digestive Care LLC | 5550 Friendship Blvd, T90, Chevy Chase, MD 20815-7313 |
| Jonathan Koff | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Street Address |
2021 K ST NW SUITE T 110 |
| City | WASHINGTON |
| State | DC |
| Zip | 20061-1036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Longhurst | Physical Therapy | Physiotherapy Associates Inc | 2021 K St Nw, Select Physical Therapy 50568 Suite 750, Washington, DC 20006-1023 |
| Kelly A Mercado | Nurse Practitioner | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Pamela Durning | Anesthesiology | Capital Anesthesia Partners, LLC | 2021 K St Nw, 120 Endos Ctr of Wash, Washington, DC 20006-1010 |
| Angela R Canady | Allergy/immunology | Henry J Fishman Md PC | 2021 K St Nw, Suite 400, Washington, DC 20006-1009 |
| Saba D Shapouri | Physical Therapy | Washington Orthopaedics and Sports Medicine, P.a. | 2021 K St Nw, Suite 610, Washington, DC 20006-1058 |
| Marc J Holzman | Ophthalmology | 2021 K St Nw, Suite 416, Washington, DC 20006-1003 | |
| Jeffrey Bruce Sherman | Internal Medicine | 2021 K St Nw, Suite 404, Washington, DC 20006-1003 | |
| Roderick B Kreisberg | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Michael J Schwartz | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Kelson Coddington | Physical Therapy | Arthritis and Rheumatism Associates PC | 2021 K St Nw, Suite 300, Washington, DC 20006-1012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique E Howard | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| George Bolen | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Jonathan Koff | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Joseph J Genovese | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Stephen D Humm | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Adell Copelia Winley | Physician Assistant | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Victor Witten | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Matthew Masaji Kirkbride | Pathology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Theodore Y Kim | Gastroenterology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Tu Anh Chu | Pathology | Capital Digestive Care LLC | 2021 K St Nw, Suite T 110, Washington, DC 20061-1036 |
| Find all physicians in zip 20061 | |||
| City | WASHINGTON |
| Zip Code | 20061 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WASHINGTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Lawrence Widerlite.
| 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.