CPO SERVICES, INC (NPI# 1811277692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811277692 |
| Entity Type | Organization |
| Organization Name | CPO SERVICES, INC |
| Other Organization Name | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
| Practice Address |
535 Roxbury Rd Lower Level Rockford IL 61107 |
| Mailing Address |
714 W Main St Peoria IL 61606-1952 |
| Practice Telephone | 8154893908 |
| Practice Fax Number | 8154252805 |
| Mailing Telephone | 3096762276 |
| Mailing Fax Number | 3096762279 |
| Enumeration Date | 2011-08-24 |
| 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 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 |
| 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 |
| 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 |
535 ROXBURY RD LOWER LEVEL |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750344404 | John C Collins | Psychiatry & Neurology | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2006-04-11 |
| 1154881142 | Ashley Seyfert | Clinical Nurse Specialist | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2019-03-25 |
| 1245702026 | Roshni Pradip Desai | Physician Assistant | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2018-12-18 |
| 1083180228 | Andrea M Shewalter | Nurse Practitioner | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2018-10-15 |
| 1740709336 | Christie Jo Gesin | Nurse Practitioner | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2017-09-14 |
| 1871860056 | Saint Anthony Medical Center | Neurological Surgery | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2011-11-16 |
| 1457540379 | Michelle Marie Sandine | Nurse Practitioner | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2007-10-16 |
| 1245300284 | Meredydd Jane Harper | Nurse Practitioner | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2006-11-08 |
| 1154427664 | Perryville Surgical Associates Sc | Surgery | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2006-09-15 |
| 1649374737 | Kenneth W Mihelich | Surgery | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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 |
|---|---|---|---|---|
| 1194719328 | Northern Prosthetics & Orthopedic Inc | Prosthetic/Orthotic Supplier | 2629 Charles St, Rockford, IL 61108-1608 | 2005-09-02 |
| 1760680144 | Rockford Vision Services, Inc. | Prosthetic/Orthotic Supplier | 25 N Main St, Rockford, MI 49341-1281 | 2007-07-06 |
| 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.