MAUGHAN PROSTHETIC & ORTHOTIC
NPI 1477805315
Prosthetic/Orthotic Supplier in Olympia, WA

NPI Status: Active since October 02, 2012

Contact Information

208 LILLY RD NE
SUITE A
OLYMPIA, WA
ZIP 98506
Phone: (360) 338-0284
Fax: (360) 878-8492

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About MAUGHAN PROSTHETIC & ORTHOTIC

This page provides the complete NPI Profile along with additional information for Maughan Prosthetic & Orthotic, a provider established in Olympia, Washington operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1477805315 assigned on October 2012. The practitioner's primary taxonomy code is 335E00000X with license number PS00000183 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Maughan Prosthetic & Orthotic. The authorized official of this NPI record is Mr. Justin M Maughan Lcpo (Owner/president)

NPI
1477805315
Provider Legal Name
MAUGHAN PROSTHETIC & ORTHOTIC SOUTH, INC.
Other Organization Name
MAUGHAN PROSTHETIC & ORTHOTIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
208 LILLY RD NE SUITE A OLYMPIA, WA 98506
Location Phone
(360) 338-0284
Location Fax
(360) 878-8492
Mailing Address
PO BOX 1546 GRAHAM, WA 98338
Mailing Phone
(360) 447-0770
Mailing Fax
(360) 878-8492
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2012
Last Update Date
09-14-2021
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Maughan Prosthetic & Orthotic is a medicare supplier with PTAN 20518325 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
PS00000183
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JUSTIN M MAUGHAN LCPO

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(253) 820-3689

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20518325
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Provider Type List
PEDORTHIC PERSONNEL.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477805315
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471601032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 0 + 1 + 0 + 3 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1477805315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538208251ROHILA AND MAH PLLC
Organization
Dentist (Endodontics)208 LILLY RD NE SUITE D
OLYMPIA, WA 98506
(360) 491-6945
1457490096 RAJNISH ROHILA D.D.S.
Individual
Dentist (Endodontics)208 LILLY RD NE SUITE D
OLYMPIA, WA 98506
(360) 491-6945
1912025420 TERENCE MAH D.D.S., M.S.
Individual
Dentist (Endodontics)208 LILLY RD NE SUITE D
OLYMPIA, WA 98506
(360) 491-6945
1245452416DR. EDWIN A TRIPP JR. D.D.S.
Individual
Dentist (Endodontics)208 LILLY RD NE SUITE D
OLYMPIA, WA 98506
(360) 491-6945
1619118106MR. MICHAEL SHAWN DAVIS CFO
Individual
Orthotic Fitter208 LILLY RD NE
OLYMPAI, WA 98506
(360) 459-1099
1407120611 JOYCE HESS C. PED.
Individual
Pedorthist208 LILLY RD NE SUITE A
OLYMPIA, WA 98506
(360) 459-1099

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477805315, enumerated in the NPI registry as an "organization" on October 02, 2012

The provider is located at 208 Lilly Rd Ne Suite A Olympia, Wa 98506 and the phone number is (360) 338-0284

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 02, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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