Walter Spencer Wightman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

73364 Issued in MA

Practice address

269 Union St
Lynn Community Health Inc.
Lynn, MA 01901-1314

Phone

(781) 581-3900

Fax

(781) 598-1050

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wwightman29010@tuftsmedicine.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  Medicare reassignment NPD
• Middlesex Recovery Professional Corporation

  • Addiction Medicine (Family Medicine) Physician
  • Woburn, MA
  • NPI 1487971461
  Medicare reassignment NPD
• Middlesex Recovery, P.C.

  • Addiction Medicine (Preventive Medicine) Physician
  • Salem, NH
  • NPI 1033712179
  NPD
• Brighton Family Practice, Inc

  • Addiction Medicine (Family Medicine) Physician
  • Brighton, MA
  • NPI 1801804315
  NPD (past)
• Preventive Medicine Associates

  • Addiction Medicine (Family Medicine) Physician
  • Brookline, MA
  • NPI 1962451591
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1033293295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "address_2": "LYNN COMMUNITY HEALTH, INC.",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-581-3900",
            "fax_number": "781-598-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "address_2": "LYNN COMMUNITY HEALTH INC.",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011314",
            "telephone_number": "781-581-3900",
            "fax_number": "781-598-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Tower Office Park",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018012113",
            "country_code": "US",
            "telephone_number": "781-305-3300",
            "fax_number": "781-305-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHTMAN",
        "first_name": "WALTER",
        "middle_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "73364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303775",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Bethany White
• Janelle Kristen Whitney-Nguyen, M.D.
• Beth Allison Whitten, RN
• Morgan Wickert, LMHC
• Alison Wiechert, LCSW
• Angela Forsberg Wilbur, PSYD
• Monica Wile
• Melissa A Wiley
• Mary Josephine Wilkins, R.N.
• Willett & Associates

• Family Medicine Physician in Lynn, MA
• Providers in Lynn, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.