NPIMap

Organization Active NPI

William C Edgerton

Doing business as William C. Edgerton, DPM

  • Podiatrist
  • Gloucester, MA
National Provider Identifier
1174571939
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WILLIAM C EDGERTON
Doing business as
William C. Edgerton, DPM
Practice address
9B Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone
(978) 281-2550
NPI assigned
May 4, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
William C Edgerton, D.P.M.NPI 1053359331
Title
Owner
Phone
(978) 281-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 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 1

IdentifierTypeStateIssuer
Y77232OtherMABLUE CROSS/BLUE SHIELD

Other names 1

  • William C. Edgerton, DPM Doing business as

National Provider Directory

National Provider Directory

Locations

9B Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 281-2550

9D Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 281-2550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1174571939",
    "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": "978-281-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C EDGERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-281-2550",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y77232",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William C. Edgerton, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2013; 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.