NPIMap

Individual provider Active NPI

Timothy Widener, M.D.

  • Emergency Medicine Physician
  • Glendale, AZ
National Provider Identifier
1619312824
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
52601 Issued in AZ
Practice address
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone
(623) 561-7222
NPI assigned
May 1, 2013
Last updated
Jan 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52601 AZ Primary

Addresses

Primary practice location

18701 N 67TH Ave
Glendale, AZ 85308-7100

Mailing address

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817002213 AZ Practitioner - Emergency Medicine 8527353408 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52601AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 12, 2020 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Feb 3, 2018 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 25, 2016 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC Emergency Medicine CurrentSince Apr 18, 2025 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Feb 1, 2024 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Dec 10, 2023 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Apr 18, 2025 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Feb 3, 2018 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1619312824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "623-561-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "623-561-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "52601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.