CPO SERVICES, INC (NPI# 1952664385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952664385 |
| Entity Type | Organization |
| Organization Name | CPO SERVICES, INC |
| Other Organization Name | COMPREHENSIVE PROSTHETICS & ORTHOTICS |
| Practice Address |
1521 W Walnut St Jacksonville IL 62650 |
| Mailing Address |
741 W Main St Peoria IL 61606-2017 |
| Practice Telephone | 2178834960 |
| Mailing Telephone | 3096762276 |
| Mailing Fax Number | 3096762279 |
| Enumeration Date | 2012-06-20 |
| 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 |
| Other Name | Type Code |
|---|---|
| Comprehensive Prosthetics & 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 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 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 |
1521 W WALNUT ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689841173 | Overstreet Enterprises Inc | Specialist | 1521 W Walnut St, Jacksonville, IL 62650-1151 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| 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 |
|---|---|---|---|---|
| 1295367837 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1300 Riverplace Blvd Ste 100, Jacksonville, FL 32207-1815 | 2020-02-11 |
| 1952955627 | B Jazzy Salon Inc | Prosthetic/Orthotic Supplier | 5116 Gate Pkwy Apt 5111, Jacksonville, FL 32256-0265 | 2019-07-30 |
| 1043771777 | Jimetra West | Prosthetic/Orthotic Supplier | 1449 Morgana Rd, Jacksonville, FL 32211-4910 | 2019-03-26 |
| 1144769092 | Nupath Medical LLC | Prosthetic/Orthotic Supplier | 11244 Turnbridge Dr, Jacksonville, FL 32256-2342 | 2017-02-13 |
| 1700287018 | Janet Johnson | Prosthetic/Orthotic Supplier | 3132 Beach Blvd, Jacksonville, FL 32207-3710 | 2014-09-07 |
| 1043619166 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4835 Town Crossing Drive, Jacksonville, FL 32246-8577 | 2014-08-14 |
| 1053679365 | Jean T. Proulx | Prosthetic/Orthotic Supplier | 3132 Beach Boulevard, Jacksonville, FL 32207-3710 | 2012-04-25 |
| 1023309572 | Bremer Brace of Florida, Inc. | Prosthetic/Orthotic Supplier | 4131 University Blvd S Ste 16, Jacksonville, FL 32216-4346 | 2011-05-02 |
| 1720227465 | Kathleen Elizabeth Brockway | Prosthetic/Orthotic Supplier | 13740 Beach Blvd Ste 404, Jacksonville, FL 32224-6036 | 2009-02-19 |
| 1760637599 | Brandis Wig Salon | Prosthetic/Orthotic Supplier | 7275 103rd St, Jacksonville, FL 32210 | 2008-11-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
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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.