Eric Anthony Widra, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD20732 Issued in DC

Practice address

3800 Reservoir Rd NW
3Rd Floor Gorman
Washington, DC 20007-2113

Phone

(202) 444-1511

NPI assigned

Sep 19, 2005

Last updated

Jul 13, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• SGFC Surgery Center, LLC

  dba SGFC Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Towson, MD
  • NPI 1528307188
  NPD (past)
• Shady Grove Reproductive Science Center PC

  dba SGFC Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1437232758
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538154356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 SHADY GROVE RD",
            "address_2": "SUITE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506352",
            "telephone_number": "301-340-1188",
            "fax_number": "301-340-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "3RD FLOOR GORMAN",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDRA",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD20732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierah Wideman
• Bailey R Widener, OTR/L
• Judith Wides, M.A., M.ED
• Alicia Widge
• Sally Widmann, OTD
• Kristen Renae Wiebe, FNP-BC
• Jenna Kate Wiederhold
• A Roger Wiederhorn, MD
• Bernhard Louis Wiedermann, MD
• Heather Wiemer, MA CCC-SLP

• Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.