Active NPI
Jason Samuel McNaughten, CPO CERT PROSTH/ORTH
- Prosthetist
- Fayetteville, NC
National Provider Identifier
1245339019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO02333
- Practice address
- 234 Owen Drive
Fayetteville, NC 28304 - Phone
- (910) 323-9016
- Fax
- (910) 486-8712
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CPO02333 | NC | Primary |
| Orthotist | 222Z00000X | CPO02333 | NC |
Addresses
Primary practice location
234 Owen Drive
Fayetteville, NC 28304
Mailing address
PO Box 87067
Fayetteville, NC 28304
Phone (910) 323-9016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795107 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO02333 | NC | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab Orthotics & Prosthetics Inc | Orthotist | Current | Accepting new patients |
| Total Rehab Orthotics & Prosthetics Inc | Orthotist | Current | Accepting new patients |
Locations
234 Owen Dr
Fayetteville, NC 28304
Phone (910) 323-9016
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Lumberton, NC
- NPI 1235133943
Orthotist
-
- Customized Equipment (DME)
- Fayetteville, NC
- NPI 1699779280
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1245339019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87067",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "910-323-9016",
"fax_number": "910-486-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 OWEN DRIVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "910-323-9016",
"fax_number": "910-486-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAUGHTEN",
"first_name": "JASON",
"middle_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "CPO CERT PROSTH/ORTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "CPO02333",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NC",
"license": "CPO02333",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795107",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.