Maughan Prosthetic & Orthotic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PS00000183 Issued in WA

Legal business name

MAUGHAN PROSTHETIC & ORTHOTIC, INC.

Practice address

10689 Old Frontier Rd NW Ste 201
Silverdale, WA 98383-9040

Phone

(360) 698-2229

Fax

(360) 698-0122

NPI assigned

Aug 6, 2009

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin Michael Maughan I, CPONPI 1710178041

Title

President/Cpo

Phone

(253) 820-3689

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Centralia, WA
  • NPI 1013687821

  2567662471

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Maughan Prosthetic Orthotic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Centralia, WA
  • NPI 1013687821
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Centralia, WA
  • NPI 1013687821
  NPPES parent name
• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Burien, WA
  • NPI 1487148847
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin M Maughan, CPO

  • Prosthetist
  • Silverdale, WA
  • NPI 1710178041

  Orthotist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1215168398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983381546",
            "telephone_number": "360-447-0770",
            "fax_number": "253-904-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10689 OLD FRONTIER RD NW STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839040",
            "telephone_number": "360-698-2229",
            "fax_number": "360-698-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUGHAN PROSTHETIC & ORTHOTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CPO",
        "authorized_official_telephone_number": "253-820-3689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "PS00000183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Master's Orthotics and Prosthetics, LLC
• Master's Orthotics and Prosthetics, LLC
• George Cherukara Mathew, DMD
• Matthew a Pollard DDS PC
• Joshua A Matthews, PHARMD
• Justin M Maughan, CPO
• Laura Semones Maxwell
• John Joseph Mayes, O.D.
• Jeffrey McCall, PSYD
• Stacey Lynn McCarthy, L.AC

• Prosthetic/Orthotic Supplier in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.