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Active NPI 1275539264 Individual Practitioner Male Practitioner

J Kirk Douglass , CPO

Prosthetist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

J Douglass, CPO is a registered healthcare professional specializing in Prosthetist in Seattle, WA. Practice services are available at 10740 MERIDIAN AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10740 Meridian Ave N
Ste G2

Seattle, WA 981339010

Telephone 2063637790
Fax 2063637688
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Seattle, WA (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License WA PS00000063

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License WA OI00000062

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8418840 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1588591333
NPI 1790318376

Certified Prosthetist Orthotist, LCPO

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2010

Registered at 10740 MERIDIAN AVE N, STE G2, SEATTLE, WA 981339010 (Tel: 2063637790)

📍
Updated Business Mailing Address April 29, 2010

Registered at 10740 MERIDIAN AVE N, STE G2, SEATTLE, WA 981339010 (Tel: 2063637790)

👤
Provider Name / Credentials Updated April 29, 2010

Recorded as J DOUGLASS, C.P.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2010

Orthotist (License #OI00000062 in WA)

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Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275539264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: April 29, 2010
Sole Proprietor: No

Mailing Address

10740 Meridian Ave N, Ste G2

Seattle, WA 981339010

Phone: 2063637790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.