Wakefield Place Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2185 Issued in MA

Legal business name

WAKEFIELD PLACE PODIATRY

Practice address

380 Lowell St
Ste. 101B
Wakefield, MA 01880-1984

Phone

(781) 224-3667

NPI assigned

May 20, 2006

Last updated

Mar 26, 2008By 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

Maryanne Sachetta, D.P.M.

Title

President

Phone

(781) 224-3667

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Douglas J. Park, PH.D

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1912967019
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1467406520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "WEST PEABODY",
            "state": "MA",
            "postal_code": "019607190",
            "telephone_number": "781-231-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LOWELL ST",
            "address_2": "STE. 101B",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801984",
            "telephone_number": "781-224-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD PLACE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "SACHETTA",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-224-3667",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9721070",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "4751670001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wakefield Eye Associates
• Wakefield Family Dental Center
• Wakefield Foot and Ankle
• Wakefield Healthcare, LLC (Wakefield Care and Rehabilitation Center)
• Wakefield Opco LLC (RegalCare at Wakefield)
• Wakefield Public Schools
• Wakefield Transportation LLC
• John William Wakefield
• Waldman Chiropractic Associates, Inc
• David Mark Waldman, D.C.

• Podiatrist in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.