NPIMap

Individual provider Active NPI

Aimee Elizabeth Widner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Heber Springs, AR
National Provider Identifier
1801054440
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E-9529 Issued in AR
Practice address
746 Wilburn Rd
Heber Springs, AR 72543-8902
Phone
(501) 270-4116
NPI assigned
May 30, 2008
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 070011 GA
Physical Medicine & Rehabilitation Physician 208100000X E-9529 AR Primary

Addresses

Primary practice location

746 Wilburn Rd
Heber Springs, AR 72543-8902

Mailing address

746 Wilburn Road
Heber Springs, AR 72543-8902
Phone (501) 270-4116

Other identifiers 2

IdentifierTypeStateIssuer
202I257059OtherGAMEDICARE PTAN
003135242GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20161021000940 AR Practitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Interventional Pain Management 5294999553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

746 Wilburn Rd
Heber Springs, AR 72543-8902
Phone (501) 270-4116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070011GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aimee Elizabeth Widner, M.D., PLLC CurrentSince Sep 1, 2016 Accepting new patients
Orthopedic Surgeons of Georgia LLC Past Accepting new patients
Taylor & Associates PastSince Sep 1, 2016 Accepting new patients

Locations

746 Wilburn Rd
Heber Springs, AR 72543
Phone (501) 270-4116

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1801054440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 WILBURN ROAD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438902",
            "telephone_number": "501-270-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 WILBURN RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438902",
            "telephone_number": "501-270-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDNER",
        "first_name": "AIMEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "070011",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-9529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I257059",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003135242G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.