Michael David Widlitz, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD030022E Issued in PA

Practice address

1162 Waterwheel Dr
Yardley, PA 19067-4549

Phone

(215) 493-8181

NPI assigned

Jul 31, 2013

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1477985489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 WATERWHEEL DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674549",
            "telephone_number": "215-493-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 WATERWHEEL DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674549",
            "telephone_number": "215-493-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDLITZ",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD030022E",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA04378300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aislinn Weiman, LSW
• Fredric J. Weiner, ED.D.
• Victoria Wesler, RDN
• Anne B Whalen, DO
• Melissa Ann White, PT, DPT, COMT
• Lorraine Wiegand
• Michele Caroline Willems Plakyda, MD
• Aundrea Williams, PHARMD
• Elliott Herschel Willis, D.O.
• Lance B Wilson, MD

• Otolaryngology Physician in Yardley, PA
• Providers in Yardley, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.