MAUGHAN PROSTHETIC & ORTHOTIC, INC. – NPI #1487148847
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.

MAUGHAN PROSTHETIC & ORTHOTIC, INC. is a DME Supplier located in BURIEN, WA. NPPES has assigned the NPI number 1487148847 to MAUGHAN PROSTHETIC & ORTHOTIC, INC. on June 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 5 years ago on Sep 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAUGHAN PROSTHETIC & ORTHOTIC, INC. below.

NPI Profile for
MAUGHAN PROSTHETIC & ORTHOTIC, INC.

NPI Number
1487148847
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAUGHAN PROSTHETIC & ORTHOTIC, INC.
Primary location
127 SW 156TH ST
BURIEN, WA 98166
Phone: (206) 246-2714 Fax: (206) 246-4665
Mailing address
PO BOX 1546
GRAHAM, WA 98338-1546
Phone: (360) 447-0770 Fax: (253) 904-8705
Organization Subpart
Yes - MAUGHAN PROSTHETIC & ORTHOTIC, INC. is subpart of another organization.
Authorized Official
KRYSTEN EADS
CLINIC ADMIN/CFO
Phone: (360) 447-0770
Updated
Certification Date
Sep 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MAUGHAN PROSTHETIC & ORTHOTIC, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA2007326
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
224P00000X
- Prosthetist
WA PS00000068
222Z00000X
- Orthotist
WA OI00000067

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.