Justin M Maughan, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS00000183 Issued in WA

Practice address

9220 Ridgetop Blvd NW
Suite 110
Silverdale, WA 98383-8556

Phone

(360) 698-2229

Fax

(360) 698-0122

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maughan Prosthetic & Orthotic, Inc.

  • Prosthetic/Orthotic Supplier
  • Silverdale, WA
  • NPI 1215168398

  Orthotist

  NPD (past) Authorized official
• Maughan Prosthetic & Orthotic, Inc.

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

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1710178041",
    "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": "253-875-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD NW",
            "address_2": "SUITE 110",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-698-2229",
            "fax_number": "360-698-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000326",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8371569",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Master'S Orthotics and Prosthetics, LLC
• George Cherukara Mathew, DMD
• Matthew a Pollard DDS PC
• Joshua A Matthews, PHARMD
• Maughan Prosthetic & Orthotic, Inc.
• Laura Semones Maxwell
• John Joseph Mayes, O.D.
• Jeffrey McCall, PSYD
• Danielle McCartney
• Cris Kier Aoibhinn McCarty

• Prosthetist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.