DOUGLASS CERT PROS & ORTHOTICS, INC (NPI# 1992743090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992743090 |
| Entity Type | Organization |
| Organization Name | DOUGLASS CERT PROS & ORTHOTICS, INC |
| Practice Address |
10740 Meridian Ave N Ste G2 Seattle WA 98133-9010 |
| Mailing Address |
10740 Meridian Ave N Seattle WA 98133-9010 |
| Practice Telephone | 2063637790 |
| Practice Fax Number | 2063637688 |
| Mailing Telephone | 2063637790 |
| Mailing Fax Number | 2063637688 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | JAMES KIRK DOUGLASS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2063637790 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | OI00000062 | WA | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | PS00000063 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9041328 | 05 |
| Street Address |
10740 MERIDIAN AVE N STE G2 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469889 | Shannon J Kim | Prosthetist | 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 | 2020-02-21 |
| 1790318376 | Bryan Gregory Gerhard | Orthotist | 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| 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 |
|---|---|---|---|---|
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 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 |
| 1699959155 | Terrapin Technologies, Inc | Prosthetic/Orthotic Supplier | 129 N 85th St, Seattle, WA 98103-3601 | 2007-12-19 |
| 1972521136 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 715 Northgate, Seattle, WA 98125 | 2006-07-17 |
| 1740205996 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 11143 W 95th St, Seattle, WA 66214 | 2006-07-12 |
| 1942255278 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 500 Pine St, Seattle, WA 98101-1744 | 2006-05-24 |
| 1912336025 | Center for Prosthetics Orthotics, Inc. | Prosthetic/Orthotic Supplier | 411 12th Ave, Suite 200, Seattle, WA 98122-5599 | 2013-11-08 |
| Find all providers in SEATTLE | ||||
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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.