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Active NPI 1417471426 Individual Practitioner Male Practitioner

Glenn Gordon Wilson , CP(C)CO, BOCP

Prosthetist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Glenn Wilson, CP(C)CO, BOCP is a registered healthcare professional specializing in Prosthetist in Spokane, WA. Practice services are available at 514 S WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

514 S Washington St

Spokane, WA 992042620

Telephone 5096243314
Fax 5097870952
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Spokane, WA

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

Practicing in Spokane, 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 PS60602304

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1164815981

Certified Prosthetist Orthotist

NPI 1194352633

Certified Prosthetist Orthotist, MSOP

NPI 1386473999
NPI 1770774010

Certified Prosthetist Orthotist

NPI 1821289059
John Ibarra

Student in an Organized Health Care Education/Training Program

NPI 1952592008

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2017

Registered at 514 S WASHINGTON ST, SPOKANE, WA 992042620 (Tel: 5096243314)

📍
Updated Business Mailing Address August 01, 2017

Registered at 4214 S SULLIVAN RD, VERADALE, WA 990379187 (Tel: 4067500123)

👤
Provider Name / Credentials Updated August 01, 2017

Recorded as GLENN WILSON, CP(C)CO,BOCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Prosthetist (License #PS60602304 in WA)

🟢
Initial NPI Registration & Enumeration August 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417471426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2017
Last Update: August 01, 2017
Sole Proprietor: Yes

Mailing Address

4214 S Sullivan Rd

Veradale, WA 990379187

Phone: 4067500123

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.