Provider Demographics
NPI:1245247089
Name:NAUGHTON, WILLIAM S (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:NAUGHTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1947
Mailing Address - Country:US
Mailing Address - Phone:401-228-7909
Mailing Address - Fax:
Practice Address - Street 1:524 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1947
Practice Address - Country:US
Practice Address - Phone:401-723-5461
Practice Address - Fax:401-723-9630
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM00321213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI412812OtherBLUECHIP
RI9004101Medicaid
RI29752-9OtherBLUECROSS/BLUESHIELD
RI3962840OtherAETNA
RI412812OtherBLUECHIP
RI9004101Medicaid