Individual provider · Type 1 NPI

Levi Samuel Widener

Physician Assistant · Marion, VA

NPI number 1306512371 Active

Practice location

245 Medical Park Dr Ste B
Marion, VA 24354

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 21371 Forsythe Rd, Bristol, VA 24202-4357 · (276) 525-4377
  • 16000 Johnston Memorial Dr, Abingdon, VA 24211 · (276) 258-1000
  • 58 Carroll Street, Lebanon, VA 24266 · (276) 883-8000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110008072 (VA)
Physician Assistant Primary 363A00000X4743 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306512371

Levi Samuel Widener's National Provider Identifier is 1306512371, issued on Aug 19, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Marion, VA. The record was last updated on Dec 5, 2025.