David Michael Widlus, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0035001 Issued in MD

Practice address

22 S Greene St
Room N2E16
Baltimore, MD 21201-1544

Phone

(410) 328-5656

Fax

(410) 328-2115

NPI assigned

Jul 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
  • NPI 1629235312
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1730107525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 SHADED BROOK DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172347",
            "telephone_number": "410-554-2590",
            "fax_number": "410-554-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "ROOM N2E16",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5656",
            "fax_number": "410-328-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDLUS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0035001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561371000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Wickliffe
• Kaya Wicklund Phillips
• Wanda J Wicks, MD
• Emerson M. Wickwire, PH.D.
• Reginald Scott Widemon
• Nancy Widlus, LCSW-C
• Patricia Ferrie Widra, M.D.
• Shelly A. Wiechelt, PH.D., LCSW-C, CCDC
• Beth H Wieczorek, CRNP
• Paige Wieczorek

• Diagnostic Radiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.