MAUGHAN PROSTHETIC & ORTHOTIC SOUTH, INC. (NPI# 1477805315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477805315 |
| Entity Type | Organization |
| Organization Name | MAUGHAN PROSTHETIC & ORTHOTIC SOUTH, INC. |
| Other Organization Name | MAUGHAN PROSTHETIC & ORTHOTIC |
| Practice Address |
208 Lilly Rd Ne Suite A Olympia WA 98506-6100 |
| Mailing Address |
Po Box 1546 Graham WA 98338-1546 |
| Practice Telephone | 3603380284 |
| Practice Fax Number | 3608788492 |
| Mailing Telephone | 3604470770 |
| Mailing Fax Number | 2538757768 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MR. JUSTIN M MAUGHAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2538203689 |
| Authorized Official Credential | LCPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | PS00000183 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| Maughan Prosthetic & Orthotic | Doing Business As Name - Organization |
| Street Address |
208 LILLY RD NE SUITE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538208251 | Rohila and Mah Pllc | Dentist | 208 Lilly Rd Ne, Suite D, Olympia, WA 98506-5031 | 2007-02-06 |
| 1407120611 | Joyce Hess | Pedorthist | 208 Lilly Rd Ne, Suite A, Olympia, WA 98506-6100 | 2012-03-06 |
| 1245452416 | Edwin A Tripp Jr. | Dentist | 208 Lilly Rd Ne, Suite D, Olympia, WA 98506-5031 | 2007-05-03 |
| 1912025420 | Terence Mah | Dentist | 208 Lilly Rd Ne, Suite D, Olympia, WA 98506-5031 | 2007-03-26 |
| 1457490096 | Rajnish Rohila | Dentist | 208 Lilly Rd Ne, Suite D, Olympia, WA 98506-5031 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
| 1588761332 | Judys Intimate Apparel Inc | Prosthetic/Orthotic Supplier | 2528 Pacific Ave Se, Olympia, WA 98501-2033 | 2006-09-20 |
| 1124082433 | Knapp Prosthetics | Prosthetic/Orthotic Supplier | 530 Lilly Rd Se, #100, Olympia, WA 98501-2111 | 2006-04-13 |
| 1023177110 | West Coast Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 2102 Carriage Dr Sw, Bldg E, Olympia, WA 98502 | 2006-12-06 |
| 1497866396 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 3000 Limited Ln Nw, Suite 130, Olympia, WA 98502-2704 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
| 1033424239 | Kirk, Sherris | Prosthetic/Orthotic Supplier | 6470 Ne Marshall Rd, Bainbridge Island, WA 98110-1617 | 2010-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.