DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEVI SAMUEL WIDENER

Active

LEVI SAMUEL WIDENER is a Physician Assistant healthcare provider located in MARION, Virginia. NPI 1306512371 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MARION, VA

Registration Details

NPI Number
1306512371
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2021 (4.9488156380735 yrs)
Last Updated
Dec 5, 2025
Licenses
0110008072 (VA)
4743 (TN)

Practice Information

Address
245 MEDICAL PARK DR STE B
MARION, VA, 24354
Browse VA providers · Browse ZIP 24354
Phone
2763783020
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MARION, VA

Name Credential NPI
MARY MARTHA TEITELBAUM PA-C 1467470138
SANDRA GRAZULEWICZ PA-C 1528186947
MR. JONATHAN RICHARD SHELTON PA 1063859544
MATTHEW R WILLIAMS PA 1578966073
JAIMIE LEANNE SHELTON P.A. 1285022095
AMANDA GRACE FLEENOR PA-C 1619347853
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.