Organization Active NPI

Aimee Elizabeth Widner, M.D., PLLC

Doing business as Spine Specialty of Arkansas

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Heber Springs, AR
National Provider Identifier
1497100838
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
E9529 Issued in AR
Legal business name
AIMEE ELIZABETH WIDNER, M.D., PLLC
Doing business as
Spine Specialty of Arkansas
Practice address
746 Wilburn Rd
Heber Springs, AR 72543-8902
Phone
(501) 270-4116
NPI assigned
May 3, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Aimee Elizabeth Widner, M.D.NPI 1801054440
Title
Business Owner
Phone
(501) 454-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X E9529 AR Primary

Addresses

Primary practice location

746 Wilburn Rd
Heber Springs, AR 72543-8902

Mailing address

746 Wilburn Rd
Heber Springs, AR 72543-8902
Phone (501) 270-4116

Other names 1

  • Spine Specialty of Arkansas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161021000375 AR Part B Supplier - Clinic/Group Practice 9537447891 Receives reassigned benefits from 1 practitioner
Practice locations: Heber Springs, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2113564Spine Specialty Clinic of Arkansas746 Wilburn Road, Heber Springs, AR 72543Certificate of waiverMay 24, 2028

National Provider Directory

National Provider Directory

Locations

746 Wilburn Rd
Heber Springs, AR 72543
Phone (501) 270-4116

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1497100838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 WILBURN RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438902",
            "telephone_number": "501-270-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 WILBURN RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438902",
            "telephone_number": "501-270-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMEE ELIZABETH WIDNER, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "WIDNER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "501-454-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AR",
            "license": "E9529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Specialty of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.