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

Randy Widtfeldt, PA

Individual provider Surgical Physician Assistant · NPI 1487089504

Randy Widtfeldt, PA is a Physician Assistant in Stoneham, Massachusetts. Qualified in 2013, 13 years ago. Practices with Orthopedic Surgery, Inc, a 25-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

92 Montvale Ave
Stoneham, MA 02180-3647
Phone: (781) 279-7040
Show map & directions

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

Additional practice locations (3)

  • 362 Belmont St, Brockton, MA 02301-4950 — (781) 279-7040
  • 405 Pearl St, Malden, MA 02148-6644 — (781) 665-9500
  • 44 Bearfoot Rd Ste 3125, Northborough, MA 01532-1559 — (781) 279-7040

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA4822 (MA)

Record details

NPI number1487089504
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 9, 2013
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address92 Montvale Ave, Ste 1400, Stoneham, MA 02180-3629

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Orthopedic Surgery, Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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