Provider Type Icon

DR. WILLIAM ZACHARY FENN D.P.M. NPI 1184897415


NPI Information

NPI: 1184897415
Provider Name: DR. WILLIAM ZACHARY FENN, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: RELIANT MEDICAL GROUP INC

PECOS Registration: Yes

Address:
28 NEWTON ST
SOUTHBOROUGH, MA
ZIP 01772
Phone: (508) 486-4472
Get Directions

DR. William Zachary Fenn, D.P.M. is a foot and ankle surgery podiatrist in Southborough, MA with 19 years of experience. DR. William Zachary Fenn, D.P.M. NPI is 1184897415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

28 NEWTON ST
SOUTHBOROUGH, MA
ZIP 01772-215
Phone: (508) 486-4472
Fax: (508) 460-3281

The NPI 1184897415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 4/8/2008 and was last updated on 10/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist0103301006VIRGINIANo
2213ES0103XPodiatristFoot & Ankle Surgery2336MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110153403AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.