CPO SERVICES, INC (NPI# 1710202056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710202056 |
| Entity Type | Organization |
| Organization Name | CPO SERVICES, INC |
| Other Organization Name | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
| Practice Address |
3030 N. Woodford Street Decatur IL 62526 |
| Mailing Address |
741 W Main St Peoria IL 61606-1953 |
| Practice Telephone | 2176190069 |
| Practice Fax Number | 2178757038 |
| Mailing Telephone | 8003345705 |
| Mailing Fax Number | 8886636322 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | DONALD GOERTZEN (PRESIDENT) |
| Authorized Official Telephone | 8003345705 |
| Authorized Official Credential | CP, LPO |
| Is Organization Subpart | Y |
| Parent Organization Name | CPO SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 222Z00000X | Orthotist | 213000118 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 211000225 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Comprehensive Prosthetics and Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849816 | Cpo Services, Inc | Prosthetist | 2703 Mcgraw Dr, Suite 3, Bloomington, IL 61704 | 2009-10-29 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 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 |
3030 N. WOODFORD STREET |
| City | DECATUR |
| State | IL |
| Zip Code | 62526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| 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. |
| 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 |
|---|---|---|---|---|
| 1265664288 | Bradley Shields Hilliker | Prosthetist | 717 Highway 67 South, Suite 10, Decatur, AL 35603-6314 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653330 | Eduardo Arias | Prosthetist | 811 S Paulina St Ste 161, Chicago, IL 60612-4353 | 2020-06-15 |
| 1063041036 | Tanyale Allen | Prosthetist | 1016 E 156th Pl, Dolton, IL 60419-2775 | 2020-04-02 |
| 1700414950 | Harold Wayne Duckett | Prosthetist | 1801 15th Street Pl, Moline, IL 61265-3964 | 2020-03-31 |
| 1598395535 | Samira Kamran | Prosthetist | 211 E Ohio St Apt 2505, Chicago, IL 60611-3257 | 2020-01-17 |
| 1558906065 | Meilani Schaeffer | Prosthetist | 11317 W 159th St, Orland Park, IL 60467-5659 | 2019-11-08 |
| 1124586078 | Kaiisha Dear Sweet | Prosthetist | 3408 W 95th St, Evergreen Park, IL 60805-2204 | 2019-03-11 |
| 1851859706 | Keisha Shavonne Jackson-murry | Prosthetist | 812 Gladstone Dr, Vernon Hills, IL 60061-1406 | 2019-03-11 |
| 1811461437 | Debria Filer | Prosthetist | 16126 S Park Ave, South Holland, IL 60473-1581 | 2019-01-16 |
| 1053813089 | James Paul Shrader | Prosthetist | 1551 Bond Street, Suite 111, Naperville, IL 60563 | 2018-03-06 |
| 1144738519 | Taisha Worlds | Prosthetist | 2745 Bristol Dr, Lisle, IL 60532-4215 | 2018-01-18 |
| 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.