Organization Active NPI

Peter a Wiggin DPM Inc

  • Foot Surgery Podiatrist
  • Mansfield, OH
National Provider Identifier
1043305337
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
PETER A WIGGIN DPM INC
Practice address
74 Wood St
Mansfield, OH 44903-2211
Phone
(419) 756-1875
Fax
(419) 525-3264
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Dr. Peter Austin Wiggin, D.P.M.
Title
Owner
Phone
(419) 756-1875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

74 Wood St
Mansfield, OH 44903-2211

Mailing address

74 Wood St
Mansfield, OH 44903-2211
Phone (419) 756-1875

Other identifiers 2

IdentifierTypeStateIssuer
2841321MedicaidOH
0634719MedicaidOH

National Provider Directory

National Provider Directory

Locations

74 Wood St
Mansfield, OH 44903
Phone (419) 756-1875

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1043305337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WOOD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032211",
            "telephone_number": "419-756-1875",
            "fax_number": "419-525-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WOOD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032211",
            "telephone_number": "419-756-1875",
            "fax_number": "419-525-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A WIGGIN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "WIGGIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-1875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2841321",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634719",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.