Active NPI
William C Edgerton, D.P.M.
- Podiatrist
- Gloucester, MA
National Provider Identifier
1053359331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1430
- Practice address
- 9B Dr Osman Babson Rd
Gloucester, MA 01930-1812 - Phone
- (978) 281-8171
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1430 | MA | Primary |
Addresses
Primary practice location
9B Dr Osman Babson Rd
Gloucester, MA 01930-1812
Mailing address
9B Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone (978) 281-2550
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014003 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 2700395 | Other | MA | EVERCARE |
| 480909147 | Other | RAILROAD MEDICARE | |
| 0476472 | Other | MA | AETNA/US HEALTHCARE |
| 6081562002 | Other | MA | CIGNA |
| 0325333 | Medicaid | MA | |
| 714064 | Other | MA | TUFTS HEALTH PLAN |
| T58663 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| P6691 | Other | NY | EMPIRE BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1053359331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9B DR OSMAN BABSON RD",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301812",
"telephone_number": "978-281-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9B DR OSMAN BABSON RD",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301812",
"telephone_number": "978-281-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0014003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "2700395",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480909147",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "0476472",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6081562002",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0325333",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "714064",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "T58663",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "P6691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.