Active NPI
Toeruna Widge, MD
- Anesthesiology Physician
- Mertztown, PA
National Provider Identifier
1659360451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD035609L
- Practice address
- 97 Fredericksville Rd
Mertztown, PA 19539-9761 - Phone
- (610) 682-2807
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD035609L | PA | Primary |
Addresses
Primary practice location
97 Fredericksville Rd
Mertztown, PA 19539-9761
Mailing address
97 Fredericksville Rd
Mertztown, PA 19539-9761
Phone (610) 682-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035609L | PA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1659360451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 FREDERICKSVILLE RD",
"city": "MERTZTOWN",
"state": "PA",
"postal_code": "195399761",
"telephone_number": "610-682-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 FREDERICKSVILLE RD",
"city": "MERTZTOWN",
"state": "PA",
"postal_code": "195399761",
"telephone_number": "610-682-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDGE",
"first_name": "TOERUNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD035609L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mertztown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.