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

Dr. Jerad E Widman, MD

Individual provider Family Medicine Physician · NPI 1083655039

Dr. Jerad E Widman, MD is a Family Practice in Spring Hill, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2001, 25 years ago. Practices with Community Memorial Hospital District, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
25
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2006
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

22450 S Harrison St Ste 100
Spring Hill, KS 66083-3151
Phone: (913) 592-2720
Fax: (913) 592-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 705 N College St, Albany, MO 64402-1433 — (660) 726-3941

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-30763 (KS)

Record details

NPI number1083655039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2006
Last updated in NPPESOctober 23, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2001 (25 years in practice)
Group practice Community Memorial Hospital District — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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