DUPAGE PROSTHETIC-ORTHOTIC SERVICES (NPI# 1700203510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700203510 |
| Entity Type | Organization |
| Organization Name | DUPAGE PROSTHETIC-ORTHOTIC SERVICES |
| Practice Address |
410 W Ice Lake Rd Iron River MI 49935-8417 |
| Mailing Address |
121 E Roosevelt Rd Suite B Lombard IL 60148-4561 |
| Practice Telephone | 6302619317 |
| Mailing Telephone | 6302619317 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | MR. JOHN ROONEY (OWNER) |
| Authorized Official Telephone | 6302619317 |
| Authorized Official Credential | C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 211.000188 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1740466101 | 05 |
| Street Address |
410 W ICE LAKE RD |
| City | IRON RIVER |
| State | MI |
| Zip Code | 49935-8417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865198 | Aspirus Iron River Hospital & Clinics, Inc. | Clinic/Center | 814 South Ice Lake Road, Iron River, MI 49935 | 2017-11-16 |
| 1659807808 | Shannon Koski | Specialist/Technologist | 1800 N Verona Ave, Iron River, MI 49935 | 2017-05-10 |
| 1912166166 | Rk Atanasoff Od PC | Optometrist | 131 W Genesee St, Iron River, MI 49935 | 2008-06-03 |
| 1215102272 | Aspirus Iron River Hospital & Clinics, Inc. | Pathology | 1400 West Ice Lake Road, Iron River, MI 49935 | 2008-04-29 |
| 1164620555 | Mary Jo Rohde | Social Worker | 1201 Stambough Ave, Iron River, MI 49935 | 2007-07-06 |
| 1861693848 | Michael Wallace Varney | Psychologist | 217 North 10th Avenue, Iron River, MI 49935 | 2007-05-29 |
| 1962616623 | Advanced Care Smile Center Inc | Dentist | 528 N 1st Avenue, Iron River, MI 49935 | 2007-05-10 |
| 1376551788 | Raymond Krist Atanasoff | Optometrist | 131 W Genesee Street, Iron River, MI 49935 | 2006-08-03 |
| 1205873510 | Raymond J Meyers | Nurse Anesthetist, Certified Registered | 1400 Ice Lake Rd., Iron River, MI 49935 | 2006-06-02 |
| 1497750830 | Aspirus Iron River Hospital & Clinics, Inc. | General Acute Care Hospital | 1400 W Ice Lake Rd, Iron River, MI 49935 | 2005-06-14 |
| Find all providers in zip 49935 | ||||
| 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 |
|---|---|---|---|---|
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1508474297 | Brandy Denise Smith-bounds | Prosthetic/Orthotic Supplier | 41660 Huntington Dr, Sterling Heights, MI 48313-3128 | 2020-07-19 |
| 1912537705 | The W Beauty and Barber Lounge | Prosthetic/Orthotic Supplier | 18718 Grand River Ave, Detroit, MI 48223-2215 | 2020-01-21 |
| 1710520507 | Michigan Surgery Specialists, P.C. | Prosthetic/Orthotic Supplier | 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 | 2019-10-24 |
| 1952962003 | Best Choice Senior Services, Inc | Prosthetic/Orthotic Supplier | 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 | 2019-06-27 |
| 1124686704 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 | 2019-05-30 |
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1306304670 | Ddp Mobility and Safety Medical Equipment | Prosthetic/Orthotic Supplier | 27258 Cecile St, Dearborn Heights, MI 48127-3393 | 2019-03-06 |
| 1538626221 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 4025 Holt Rd Ste 110, Holt, MI 48842-6019 | 2019-02-28 |
| 1952886343 | Confidence Beyond Hair Loss | Prosthetic/Orthotic Supplier | 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 | 2018-10-01 |
| Find all providers with the same taxonomy | ||||
| City | IRON RIVER |
| Zip Code | 49935 |
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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.