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DR. JUSTIN WADE WIDNER DO
NPI 1225566953
Pediatrics in Tazewell, TN

Active since May 25, 2017
1610 TAZEWELL RD STE 203, TAZEWELL, TN 37879(423) 259-3701(866) 954-5783 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 8, 2022, Sep 23, 2021, Aug 20, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Justin Wade Widner Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN WADE WIDNER DO (NPI 1225566953) is an individual pediatrics provider in Tazewell, Tennessee, licensed in Tennessee (3903) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1225566953
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JUSTIN WADE WIDNERCredential: DO
Location Address1610 TAZEWELL RD STE 203Tazewell, TN 37879-3648
Mailing AddressPo Box 15004Knoxville, TN 37901-5004 · (865) 541-8895 · Fax (865) 633-4808
Phone(423) 259-3701
Fax(866) 954-5783
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateApril 8, 20226 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1225566953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 3903
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1610 TAZEWELL RD STE 203, Tazewell, TN 37879
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Other Identifiers 1

MedicaidQ042576TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Pediatrics
1610 TAZEWELL RD STE 203
TAZEWELL, TN 37879
Claiborne County (423) 259-3701
ASHLEY SMALLWOOD
Nurse Practitioner (Family)
1610 TAZEWELL RD STE 203
TAZEWELL, TN 37879
Claiborne County (423) 626-6260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Widner's NPI number?

The NPI number for Justin Widner is 1225566953. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Justin Widner located?

Justin Widner practices at 1610 Tazewell Rd Ste 203, Tazewell, TN 37879. The listed phone number is (423) 259-3701.

What is Justin Widner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Justin Widner accept?

Health plans from BlueCross BlueShield of Tennessee list Justin Widner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Widner was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.