CPO SERVICES, INC (NPI# 1174573307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174573307 |
| Entity Type | Organization |
| Organization Name | CPO SERVICES, INC |
| Other Organization Name | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
| Practice Address |
741 West Main Street Peoria IL 61606 |
| Practice Telephone | 3096762276 |
| Practice Fax Number | 3096762279 |
| Mailing Telephone | 3096762276 |
| Mailing Fax Number | 3096762279 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | DONALD GOERTZEN (PRESIDENT) |
| Authorized Official Telephone | 3096762276 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 211-000147 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHEILD OF | 07232129 | 01 |
| Other Name | Type Code |
|---|---|
| COMPREHENSIVE PROSTHETICS AND ORTHOTICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710202056 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 3030 N. Woodford Street, Decatur, IL 62526 | 2010-03-30 |
| 1073849816 | Cpo Services, Inc | Prosthetist | 2703 Mcgraw Dr, Suite 3, Bloomington, IL 61704 | 2009-10-29 |
| 1952664385 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 1521 W Walnut St, Jacksonville, IL 62650 | 2012-06-20 |
| 1811277692 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 535 Roxbury Rd, Lower Level, Rockford, IL 61107 | 2011-08-24 |
| 1639459415 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 1222 Shooting Park Rd, #104, Peru, IL 61354 | 2011-08-24 |
| 1578890976 | Cpo Services, Inc | Prosthetist | 2011 Rock St, Suite D2, Peru, IL 61354 | 2009-11-06 |
| 1295062594 | Cpo Services, Inc | Orthotist | 729 Broadway St, Quincy, IL 62301-2708 | 2009-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CPO SERVICES, INC. | 741 W Main St, Peoria, IL 61606 |
| Indiana Business Entities | CPO SERVICES, INC. | 2005 Wild Rose Trail, Portage, IN 46368-1683 |
| Street Address |
741 WEST MAIN STREET |
| City | PEORIA |
| State | IL |
| Zip Code | 61606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| 1205864170 | Norman C Estes | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780715698 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 9165 W Thunderbird Road, Peoria, AZ 85381 | 2007-03-09 |
| 1265485973 | Heartland Home Health Care Inc. | Prosthetic/Orthotic Supplier | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2006-05-17 |
| 1851389449 | Prosthetic Orthotic Specialist Inc | Prosthetic/Orthotic Supplier | 701 Ne Jefferson Ave, Peoria, IL 61603 | 2005-10-09 |
| 1346243946 | The Plaid Daisy Inc | Prosthetic/Orthotic Supplier | 1835 N Knoxville Ave, Peoria, IL 61603-3027 | 2005-05-27 |
| 1568658763 | Nassan and Associates | Prosthetic/Orthotic Supplier | 13260 N 94th Dr, Suite 102, Peoria, AZ 85381-4828 | 2007-09-20 |
| 1578694055 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2007-03-08 |
| 1487785002 | Banner Arizona Medical Clinic Ltd | Prosthetic/Orthotic Supplier | 13760 N 93rd Ave, Peoria, AZ 85381-4201 | 2007-03-07 |
| 1649339615 | Arizona Desert Orthopaedic Center, Inc. | Prosthetic/Orthotic Supplier | 13660 N 94th Dr, Suite C1, Peoria, AZ 85381-4836 | 2006-12-06 |
| 1083647671 | Plattner Pedorthic Services | Prosthetic/Orthotic Supplier | 311 W Romeo B Garrett Ave, Suite B, Peoria, IL 61605-2504 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
| 1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
| 1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
| 1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
| 1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
| 1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.