Russell Walter Widdows

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

14801 Triskett Rd
Cleveland, OH 44111-3193

Phone

(216) 399-3492

Fax

(216) 938-8733

NPI assigned

Jul 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1255902235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 TRISKETT RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113193",
            "telephone_number": "216-399-3492",
            "fax_number": "216-938-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 TRISKETT RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113193",
            "telephone_number": "216-399-3492",
            "fax_number": "216-938-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDDOWS",
        "first_name": "RUSSELL",
        "middle_name": "WALTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Wick
• Samantha Bernice Wick
• Marilyn Rose Wickenheiser
• Noah W Wickerham
• Maribeth Wicoff
• Julie Widmar
• Jessica Marie Wido
• Thomas Wido, MD
• Jennifer Wiebusch
• Kimberly Wiebusch, PT

• Attendant Care Provider in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Attendant Care Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.