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John Widergren

Surgery • Jacksonville, FL

Active NPI 1144290628 Individual Practitioner Male Practitioner
Practice location in NPPES

2080 Child St
Jacksonville, FL 322145005

Call 9042157720 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 9042157720
Organization at the Same NPPES Address or Phone
Naval Hospital Jacksonville Facility NPI 1265411383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2019

All general payments: $127.82 across 2 records.

By nature of payment

  • Food and Beverage: $127.82 across 2 records.

Reporting-company totals

  • Pacira Pharmaceuticals Incorporated: $127.82 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

132 active clinicians are listed under Surgery with a practice address in Jacksonville, FL (1,888 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

15.2% of these 132 clinicians have the CMS telehealth indicator.

47% of these 132 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $127.82.

Manufacturer Payment Nature Product Type Amount ($)
Pacira Pharmaceuticals Incorporated
Food and Beverage
In-kind items and services
EXPAREL General $72.43
Pacira Pharmaceuticals Incorporated
Food and Beverage
In-kind items and services
EXPAREL General $55.39

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES WI 41739-020

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Emily Arnold , PA-C

Physician Assistant

NPI 1699496869

Physician Assistant (Certified)

Destyni Blaylock , ARNP

Nurse Practitioner

NPI 1386121135

Advanced Registered Nurse Practitioner

Dr. Kim Burke , DO

Anesthesiology

NPI 1891897336

Doctor of Osteopathic Medicine (D.O.)

Julia Camp , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1215550835

Registered Nurse, Certified Registered Nurse Anesthetist

Dr. Jerry Chandler , DO

Internal Medicine - Cardiovascular Disease

NPI 1598739856

Doctor of Osteopathic Medicine (D.O.)

Dr. Jenny Chen , MD

Emergency Medicine

NPI 1245436781

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated January 25, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1144290628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Other Surgery Specialists in Jacksonville

All Surgery Specialists in Jacksonville

Mailing Address

1859 Salt Myrtle Ln

Orange Park, FL 320037062

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.