Elizabeth S Widmer (NPI# 1336562883, PAC ID# 5193081651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336562883 |
| PAC ID by PECOS | 5193081651 |
| Professional Enrollment ID | I20171116000392 |
| Full Name | Elizabeth S Widmer |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Address |
215 S Denton Tap Rd Suite 170 Coppell TX 75019-5066 |
| Phone Number | 4693127302 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971827791 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 | 4693127302 | EPIPHANY DERMATOLOGY PA |
| 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 | 8174316555 | EPIPHANY DERMATOLOGY PA |
| 7106 New Sanger Rd, Waco, TX 76712-3928 | 2545371265 | EPIPHANY DERMATOLOGY PA |
| Organization Legal Name | EPIPHANY DERMATOLOGY PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liesl Shockley Grenier | Dermatology | Epiphany Dermatology Pa | 1323 E Franklin St, Suite 103, Hillsboro, TX 76645-2679 |
| Sheevam Shah | Dermatology | Epiphany Dermatology Pa | 2405 S Clear Creek Rd, Epiphany Dermatology of Killeen, Killeen, TX 76549-5775 |
| Huayi Zhang | Dermatology | Epiphany Dermatology Pa | 9191 Kyser Way Bldg, 3 Suite B, Frisco, TX 75033-1902 |
| Cheryl Noelani Sundlov | Physician Assistant | Epiphany Dermatology Pa | 12469 Timberland Blvd, Suite 501, Fort Worth, TX 76244-5216 |
| Victoria A Meraz | Physician Assistant | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Wesley Bull | Physician Assistant | Epiphany Dermatology Pa | 195 River N Boulevard, Stephenville, TX 76401-1804 |
| Andrea L Mclin | Physician Assistant | Epiphany Dermatology Pa | 204 Wj Boaz Rd, Suite 200, Saginaw, TX 76179-4396 |
| Regan L Hurt | Physician Assistant | Epiphany Dermatology Pa | 911 Lamar Ave, Paris, TX 75460-4681 |
| Adrian Matthew Guevara | Dermatology | Epiphany Dermatology Pa | 7106 New Sanger Rd, Waco, TX 76712-3928 |
| Nancy M Chung | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Street Address |
215 S DENTON TAP RD SUITE 170 |
| City | COPPELL |
| State | TX |
| Zip | 75019-5066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Divyaswapnika Javvaji | Geriatric Medicine | 215 S Denton Tap Rd, Suite 275, Coppell, TX 75019-5066 | |
| Cara L Hall | Chiropractic | 215 S Denton Tap Rd, Suite 285, Coppell, TX 75019-5064 | |
| Nancy M Chung | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Lucy Li | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Ronald Todd Plott | Dermatology | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Leslie Brooke Cortez | Physician Assistant | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Katie K Vo | Physician Assistant | Epiphany Dermatology Pa | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-5066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Irizarry | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Amy L Goddard | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Gail D Kaiser | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Kathleen Shirley | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Steven White | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Zahoor Ahmed | Family Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Theodore Bulacan Mendoza Iii | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Anna T Mathew | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Nadia R Emerick | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Mehar C Oad | Emergency Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Find all physicians in zip 75019 | |||
| City | COPPELL |
| Zip Code | 75019 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COPPELL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Elizabeth S 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.