David J Widmyer (NPI# 1396972246, PAC ID# 9234381187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1396972246 |
| PAC ID by PECOS | 9234381187 |
| Professional Enrollment ID | I20180313000342 |
| Full Name | David J Widmyer |
| Organization Legal Name | FLORIDA KIDNEY INSTITUTE, PA |
| Address |
1500 E Venice Ave Suite 103 Venice FL 34292-1662 |
| Phone Number | 9414167734 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 8921138876 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100070 | VENICE REGIONAL BAYFRONT HEALTH |
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| 100267 | ENGLEWOOD COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 E Venice Ave, Suite 103, Venice, FL 34292-1662 | 9414167734 | FLORIDA KIDNEY INSTITUTE, PA |
| Organization Legal Name | FLORIDA KIDNEY INSTITUTE, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorraine Sheryl Cho Chung Hing | Nephrology | Florida Kidney Institute, Pa | 1500 E Venice Ave, Suite 103, Venice, FL 34292-1662 |
| Street Address |
1500 E VENICE AVE SUITE 103 |
| City | VENICE |
| State | FL |
| Zip | 34292-1662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorraine Sheryl Cho Chung Hing | Nephrology | Florida Kidney Institute, Pa | 1500 E Venice Ave, Suite 103, Venice, FL 34292-1662 |
| Krzysztof Cierniak | Physical Therapy | 1500 E Venice Ave, Suite 304, Venice, FL 34292-1665 | |
| Wayne W Rice | Chiropractic | 1500 E Venice Ave, Unit 405, Venice, FL 34292-1666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis Scott Giannone | Podiatry | Venice Podiatry Pllc | 411 Commercial Ct, Suite G, Venice, FL 34292-1650 |
| Monica L Walker | Dermatology | 395 Commercial Ct E, Venice, FL 34292-1651 | |
| Lee Roy Lumpkin Iii | Dermatology | 395 Commericial Court, Suite E, Venice, FL 34292-1651 | |
| George T Abernathy | Internal Medicine | 395 Commercial Ct, Suite B, Venice, FL 34292-1651 | |
| Jeffrey Hunek | Dermatology | 395 Commercial Ct E, Venice, FL 34292-1651 | |
| Joanne J Fava | Chiropractic | 401 Commercial Ct, Suite E, Venice, FL 34292-1652 | |
| Amy A Griswold | Pain Management | 401 Commercial Ct D, Venice, FL 34292-1652 | |
| Valli Gambina | Chiropractic | Greyador, Inc | 401 Commercial Ct, Suite E, Venice, FL 34292-1652 |
| Denise J White | Nurse Practitioner | Dna Comprehensive Therapy Services LLC | 421 Commercial Ct, Suite B, Venice, FL 34292-1656 |
| Patrick J Madden | Neurology | 435 Commercial Ct, Suite 201, Venice, FL 34292-1658 | |
| Find all physicians in zip 34292 | |||
| City | VENICE |
| Zip Code | 34292 |
| Specialty | NEPHROLOGY |
| City + Specialty | VENICE + NEPHROLOGY |
Please comment or provide details below to improve the information on David J Widmyer.
| 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.