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

Matthew Widmer, DO

Individual provider Family Medicine Physician · NPI 1174866164

Matthew Widmer, DO is a Family Practice in Port Clinton, Ohio. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2013, 13 years ago. Practices with North Coast Professional Company, LLC, a 104-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
OH
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3960 E Harbor Rd
Port Clinton, OH 43452
Phone: (419) 732-0700
Fax: (419) 732-0702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34-011496 (OH)

Record details

NPI number1174866164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2013
Last updated in NPPESJune 18, 2018
Mailing address1031 Pierce St, Sandusky, OH 44870-4669

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2013 (13 years in practice)
Group practice North Coast Professional Company, Llc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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