Mitchell J Wachtel DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MITCHELL J WACHTEL DPM PC

Practice address

451 Andover St Ste 202
North Andover, MA 01845-5069

Phone

(978) 794-8406

NPI assigned

Dec 17, 2007

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Wachtel, DPMNPI 1699765503

Title

Owner/President

Phone

(978) 794-8406

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mitchell J Wachtel, DPM

  • Podiatrist
  • North Andover, MA
  • NPI 1699765503

  O20100930028636

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mitchell J Wachtel DPM PC

  • Podiatrist
  • North Andover, MA
  • NPI 1467251322
  NPPES parent name

Practitioners 1

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.

• Mitchell J Wachtel, DPM

  • Podiatrist
  • North Andover, MA
  • NPI 1699765503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1295918969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-794-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 202",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455069",
            "telephone_number": "978-794-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL J WACHTEL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WACHTEL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-794-8406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "001978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Miedico
• Janet Lee Miller, B.S., L.M.T.
• Lauren Miller, LICSW
• Nancy Kathleen Miller, PHYSICAL THERAPIST
• Christina Misherfi, N.P.
• Mitchell J Wachtel DPM PC
• Meghan Mitchell, MA, CCC-SLP
• Shreya Mohan, DMD
• Michael Moharan, DPM
• Pauline Mohs

• Podiatrist in North Andover, MA
• Providers in North Andover, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.