Sheldon Widlan MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD019695E Issued in PA

Legal business name

SHELDON WIDLAN MD PC

Practice address

1100 Ligonier St
Suite 201
Latrobe, PA 15650-1917

Phone

(724) 539-8577

Fax

(412) 241-4325

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon Widlan, MDNPI 1720101504

Title

Physician-President

Phone

(724) 539-8517

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon Widlan, MD

  • Dermatology Physician
  • Latrobe, PA
  • NPI 1720101504
  NPD (past) Authorized official
• Brian J Stairs, D.O.

  • Family Medicine Physician
  • Latrobe, PA
  • NPI 1265472708

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811998313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LIGONIER ST",
            "address_2": "SUITE 201",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501917",
            "telephone_number": "724-539-8577",
            "fax_number": "412-241-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LIGONIER ST",
            "address_2": "SUITE 201",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501917",
            "telephone_number": "724-539-8577",
            "fax_number": "412-241-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON WIDLAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIDLAN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PHYSICIAN-PRESIDENT",
        "authorized_official_telephone_number": "724-539-8517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD019695E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63633",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas J Senuta, DC
• Linda Jean Seranko, R.N.
• Serenity Therapeutic Solutions LLC
• Judith D Shabbick, CRNP
• Michael Howard Sheffler, RPH
• Maged Shenouda, MD
• Sherry Lynn Shields, LPC
• Karlye Shirley, CRNP
• Renee M Shuster, PTA
• Brittney Marie Sidwell

• Dermatology Physician in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.