Jeremy Eugene Widener, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0390R Issued in OK

Practice address

1000 N Lee Ave RM 1980
Oklahoma City, OK 73102-1036

Phone

(405) 272-8437

Fax

(405) 231-3007

NPI assigned

Apr 21, 2020

Last updated

May 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Oklahoma State University College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians

North Star FM LPGroup PAC ID 1153591763, 22 clinicians

North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians

North Star FP LPGroup PAC ID 6800168576, 49 clinicians

North Star CN LPGroup PAC ID 0547589376, 20 clinicians

North Star NPT LPGroup PAC ID 8426468265, 40 clinicians

North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians

North Star MRI LPGroup PAC ID 5890762330, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
• Oklahoma Spine Hospital Hospital, Oklahoma City, OK, CCN 370206
• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
• Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976
  Medicare reassignment Care Compare group NPD
• North Star CN, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945

  OK

  Medicare reassignment Care Compare group NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739

  OK

  Medicare reassignment Care Compare group NPD
• North Star FM, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Flower Mound, TX
  • NPI 1174812028

  OK

  Medicare reassignment Care Compare group NPD
• North Star FP, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835

  OK

  Medicare reassignment Care Compare group NPD
• North Star MCD, LLC

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Fort Worth, TX
  • NPI 1700550282

  OK

  Medicare reassignment Care Compare group NPD
• North Star MRI LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701

  OK

  Medicare reassignment Care Compare group NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759

  OK

  Medicare reassignment Care Compare group NPD
• North Star NPT LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647

  OK

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  OK

  Medicare reassignment Care Compare group NPD
• North Star GV, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664

  OK

  Medicare reassignment NPD
• Gateway Diagnostic Imaging LLC

  • Radiology Clinic/Center
  • Sherman, TX
  • NPI 1053462655
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital LLC

  dba Community Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  Care Compare affiliation
• Oklahoma Spine Hospital LLC

  dba Oklahoma Spine Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1699745893
  Care Compare affiliation
• Essent PRMC LP

  dba Paris Regional Medical Center

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  Care Compare affiliation
• Graham Hospital District

  dba Graham Regional Medical Center

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1215557178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EVERETT DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045047",
            "telephone_number": "405-271-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE RM 1980",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-8437",
            "fax_number": "405-231-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "JEREMY",
        "middle_name": "EUGENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "0390R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa C Wicks
• Wickshire Oklahoma City Opco LLC (Wickshire Oklahoma City)
• Mylla Jaylynn Wickwire, PHARM.D.
• Elizabeth H. Widaski, RN
• Jimmy L Widdifield Jr., M.A., LPC
• Frank J. Wiebelt, D.D.S.
• Jessica Tompkins Wieduwilt, CRNA
• Matthew David Wiefels, MD
• Robert Jerome Wienecke, M.D.
• Mary T Wier, WOMENS HEALTHCARE NP

• Diagnostic Radiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.