Active NPI
Jeffrey H Widmeyer, M.D.
- Vascular Surgery Physician
- Lynchburg, VA
National Provider Identifier
1992819619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101049993
- Practice address
- 7626 Timberlake Rd
Lynchburg, VA 24502-2325 - Phone
- (434) 847-5347
- Fax
- (434) 316-7008
- NPI assigned
- Aug 19, 2006
- Last updated
- Mar 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101049993 | VA | |
| Vascular Surgery Physician | 2086S0129X | 010104993 | VA | |
| Vascular Surgery Physician | 2086S0129X | 0101049993 | VA | Primary |
| Specialist | 174400000X | 0101049993 | VA |
Addresses
Primary practice location
7626 Timberlake Rd
Lynchburg, VA 24502-2325
Mailing address
7626 Timberlake Rd
Lynchburg, VA 24502-2325
Phone (434) 847-5347
Other practice location 1
1330 Oak Ln Ste 101
Lynchburg, VA 24503-2513
Phone (434) 847-6132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Virginia Commonwealth University, School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7626 Timberlake Rd
Lynchburg, VA 24502-2325
Phone (434) 847-5347
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049993 | VA | MD | Specialist |
| 010104993 | VA | MD | Vascular Surgery Physician |
Interoperability endpoints
- veinandcosmeticsolutions.jeffreywidmeyer@152161.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Specialist
- Lynchburg, VA
- NPI 1780769224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1992819619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7626 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022325",
"telephone_number": "434-847-5347",
"fax_number": "434-316-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7626 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022325",
"telephone_number": "434-847-5347",
"fax_number": "434-316-7008"
}
],
"practiceLocations": [
{
"address_1": "1330 Oak Ln Ste 101",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245032513",
"country_code": "US",
"telephone_number": "434-847-6132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIDMEYER",
"first_name": "JEFFREY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101049993",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "010104993",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101049993",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101049993",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.