NPIMap

Individual provider Active NPI

Colin English Widener, MD

  • Hospitalist Physician
  • Columbia, SC
National Provider Identifier
1760645899
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34433 Issued in SC
Practice address
2435 Forest Dr
Columbia, SC 29204-2026
Phone
(803) 256-5855
Fax
(803) 400-5089
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34433 SC
Pediatric Critical Care Medicine Physician 2080P0203X MD.29527 AL
Hospitalist Physician 208M00000X 34433 SC Primary

Addresses

Primary practice location

2435 Forest Dr
Columbia, SC 29204-2026

Mailing address

2435 Feorest Drive
Columbia, SC 29204-2145
Phone (803) 256-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120801000319 SC Practitioner - HospitalistPractitioner - Pediatric Medicine 0042362691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group South CarolinaGroup PAC ID 8921193020, 69 clinicians

Practice addresses (Care Compare)

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

Hospital & facility affiliations

  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Musc Health Hospice Kershaw Hospice, Lugoff, SC, CCN 421519
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Merit-based Incentive Payment System (MIPS)

Final score
86.99 of 100Reported as group
Quality
81.65
Improvement activities
40
Cost
74.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.29527ALMDPediatric Critical Care Medicine Physician
34433SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Current Accepting new patients
Palmetto Health Pediatric Critical Care Medicine CurrentSince Aug 1, 2012 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 1, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Pediatrics CurrentSince Dec 1, 2016 Accepting new patients
Prisma Health-Midlands CurrentSince Aug 1, 2012 Accepting new patients
Apogee Medical Group South Carolina CurrentSince Sep 26, 2016 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

100 Palmetto Health Pkwy
Ste 104
Columbia, SC 29212
Phone (803) 434-5668

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

9 Richland Medical Park Dr
Ste 530
Columbia, SC 29203
Phone (803) 434-4603

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

Interoperability endpoints

  • Direct secure messaging: cwidener380132@direct.musc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1760645899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 FEOREST DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042145",
            "telephone_number": "803-256-5855",
            "fax_number": "803-400-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042026",
            "telephone_number": "803-256-5855",
            "fax_number": "803-400-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "COLIN",
        "middle_name": "ENGLISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "34433",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AL",
            "license": "MD.29527",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "34433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.