Levi Samuel Widener

Physician Assistant · Marion, VA

Individual Active NPI

NPI number 1306512371

Practice location

245 Medical Park Dr Ste B
Marion, VA 24354

Phone: (276) 378-3020

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NPI record

NPI: 1306512371
Entity type: Individual (Type 1)
Enumeration date: August 19, 2021
Last updated: December 5, 2025
Certified: December 5, 2025
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Physician Assistant Primary	`363A00000X`	4743	TN
Physician Assistant	`363A00000X`	0110008072	VA

Mailing address

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

Phone: (423) 952-2111

Other practice locations (3)

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

About Levi Widener

Levi Samuel Widener is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 245 Medical Park Dr Ste B, Marion, VA 24354. The NPI number 1306512371 was assigned on August 19, 2021 and the record was last updated on December 5, 2025.

Levi Widener lists 2 licenses in the registry: #4743 (TN) for Physician Assistant; #0110008072 (VA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Levi Samuel Widener?

The NPI number is 1306512371.

What is the phone number of Levi Widener?

The phone number listed for the practice location is (276) 378-3020.

Where is Levi Widener located?

245 Medical Park Dr Ste B, Marion, VA 24354.

What is the taxonomy code for Levi Widener?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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Jaimie Leanne Shelton, P.A.245 Medical Park Dr
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