Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Robert Widmeyer, MD

Individual provider Orthopaedic Surgery Physician · NPI 1629813761

Jonathan Robert Widmeyer, MD is an Orthopaedic Surgery Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-0100
Phone: (434) 941-9856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence LL92610 (SC)

Record details

NPI number1629813761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2024
Last updated in NPPESJune 29, 2024
Certification dateApril 30, 2024

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