Individual provider Active NPI

William Anthony Axton, DPM

  • Podiatrist
  • Ludlow, MA
National Provider Identifier
1396828489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MA1764 Issued in MA
Practice address
77 Winsor St
Suite 204
Ludlow, MA 01056-3469
Phone
(413) 589-7287
Fax
(413) 547-8065
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MA1764 MA Primary

Addresses

Primary practice location

77 Winsor St
Suite 204
Ludlow, MA 01056-3469

Mailing address

77 Winsor St
Suite 204
Ludlow, MA 01056-3469
Phone (413) 589-7287

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000064 MA Practitioner - Podiatry 2365414448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Winsor St
Suite 204
Ludlow, MA 01056-3486
Phone (413) 589-7287

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue577
Removal or shaving of skin growth186
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1764MAMDPsychoanalysis Psychologist
MA1764MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jun 1, 2016 Accepting new patients
Hampden Podiatry Associates Podiatrist Current Accepting new patients
Hampden Podiatry Associates Podiatrist CurrentSince Aug 15, 1985 Accepting new patients
Riverbend Medical Group, Inc. Podiatrist CurrentSince Jun 1, 2016 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

77 Winsor St
Ste 204
Ludlow, MA 01056
Phone (413) 589-7287

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396828489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WINSOR ST",
            "address_2": "SUITE 204",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563469",
            "telephone_number": "413-589-7287",
            "fax_number": "413-547-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WINSOR ST",
            "address_2": "SUITE 204",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563469",
            "telephone_number": "413-589-7287",
            "fax_number": "413-547-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTON",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "MA1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.