ALLAN ARTIFICIAL LIMBS (NPI# 1093766081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093766081 |
Entity Type | Organization |
Organization Name | ALLAN ARTIFICIAL LIMBS |
Practice Address |
926 Broadway St Suite 3 Quincy IL 62301-2730 |
Practice Telephone | 2172218991 |
Practice Fax Number | 2172218982 |
Mailing Telephone | 2172218991 |
Mailing Fax Number | 2172218982 |
Enumeration Date | 2006-05-13 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. ALLAN DAVID SCHULZE (CERTIFIED PROSTHETIST/OWNER) |
Authorized Official Telephone | 2172218991 |
Authorized Official Credential | C.P. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | 211-000154 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RIVERQUEST DMEPOS | 074309 | 01 |
MO | 626049209 | 05 | |
IL | BC/BS DMEPOS | 00132016 | 01 |
Street Address |
926 BROADWAY ST SUITE 3 |
City | QUINCY |
State | IL |
Zip Code | 62301-2730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730172636 | Mark J Wiegand | Chiropractor | 926 Broadway St, Suite 4, Quincy, IL 62301-2748 | 2005-08-25 |
1396046090 | Mervi H Leyendeckers, O.d., P.C. | Optometrist | 926 Broadway St, Quincy, IL 62301-2730 | 2010-11-11 |
1629256730 | Broadway Vision Center | Durable Medical Equipment & Medical Supplies | 926 Broadway St, Quincy, IL 62301-2730 | 2008-01-31 |
1295822625 | Mark Wiegand Dc Sc | Chiropractor | 926 Broadway St, Suite 4, Quincy, IL 62301-2748 | 2006-10-06 |
1083711642 | Mervi Hannele Leyendeckers | Optometrist | 926 Broadway St, Quincy, IL 62301-2748 | 2006-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
Find all providers in zip 62301 |
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 |
---|---|---|---|---|
1003930629 | Linda K. Simons | Prosthetic/Orthotic Supplier | 117 N 6th St, Quincy, IL 62301-2903 | 2007-03-19 |
1720511934 | United Prosthetics Inc | Prosthetic/Orthotic Supplier | 300 Congress St, Suite 404, Quincy, MA 02169-0907 | 2017-04-05 |
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.