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MAUGHAN PROSTHETIC & ORTHOTIC INC. NPI 1487148847


NPI Information

NPI: 1487148847
Provider Name: MAUGHAN PROSTHETIC & ORTHOTIC, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
127 SW 156TH ST
BURIEN, WA
ZIP 98166
Phone: (206) 246-2714
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MAUGHAN PROSTHETIC & ORTHOTIC, INC. is a prosthetic orthotic supplier in Burien, WA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MAUGHAN PROSTHETIC & ORTHOTIC, INC. NPI is 1487148847. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

127 SW 156TH ST
BURIEN, WA
ZIP 98166
Phone: (206) 246-2714
Fax: (206) 246-4665

The provider's authorized official is Krysten M Eads .
The authorized official title is Clinic Admin/cfo and has the following contact phone number (360) 447-0770.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 9/14/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotistOI00000067WASHINGTONNo
2224P00000XProsthetistPS00000068WASHINGTONNo
3335E00000XProsthetic/Orthotic SupplierYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12007326MEDICAIDWASHINGTON

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: 5/5/2024

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