J W Podiatry PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

J W PODIATRY PC

Practice address

22 Christy Dr
5
Brockton, MA 02301-1839

Phone

(508) 586-4444

Fax

(508) 586-4449

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. W Anthony Wakim, DPMNPI 1497738330

Title

Owner

Phone

(508) 586-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFECAA

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• W Anthony Wakim, DPM

  • Podiatrist
  • N Easton, MA
  • NPI 1497738330
  Medicare reassignment Care Compare group NPD Authorized official
• George Ducach, DPM

  • Podiatrist
  • Quincy, MA
  • NPI 1467427484
  Medicare reassignment Care Compare group NPD
• John P. McLoughlin, D.P.M.

  • Foot Surgery Podiatrist
  • Brockton, MA
  • NPI 1780658427
  Medicare reassignment Care Compare group NPD
• Dana M Smith Nasiff, DPM

  • Podiatrist
  • Quincy, MA
  • NPI 1518042217
  Medicare reassignment Care Compare group NPD
• Stephen Pidgeon, MD

  • Podiatrist
  • Ratnham, MA
  • NPI 1114902475
  Medicare reassignment NPD
• David A Sipala, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brighton, MA
  • NPI 1821351263
  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1629294020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHRISTY DR",
            "address_2": "5",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011839",
            "telephone_number": "508-586-4444",
            "fax_number": "508-586-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHRISTY DR",
            "address_2": "5",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011839",
            "telephone_number": "508-586-4444",
            "fax_number": "508-586-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J W PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "WAKIM",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-586-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aki Ishida
• MD Ariful Islam
• Raneem S. Islam, DO
• Emelda Iwobi, PMHNP-BC
• J Rako MD PC (Pediatric Healthcare)
• Amanda K Jablonski, MA
• Albert Jackson
• Darlene R. Jackson
• Doreen J. Jackson, LMHC
• Elizabeth Jackson

• Foot Surgery Podiatrist in Brockton, MA
• Providers in Brockton, MA by specialty
• Foot Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.