Active NPI
Northern Prosthetics & Orthopedic Inc
- Prosthetic/Orthotic Supplier
- Rockford, IL
National Provider Identifier
1194719328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- NORTHERN PROSTHETICS & ORTHOPEDIC INC
- Practice address
- 2629 Charles St
Rockford, IL 61108-1608 - Phone
- (815) 226-0444
- Fax
- (815) 226-1819
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Erich Herbert Schulze, CPO, C.PED
- Title
- President
- Phone
- (815) 226-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2629 Charles St
Rockford, IL 61108-1608
Mailing address
2629 Charles St
Rockford, IL 61108-1608
Phone (815) 226-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010180001 | Other | IL | BCBS OF IL HMO |
| 41783100 | Medicaid | WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Northern Prosthetics & Orthopedic I | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2629 Charles St
Rockford, IL 61108
Phone (815) 226-0444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Chicago, IL
- NPI 1649507328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589414400000",
"number": "1194719328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 CHARLES ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611081608",
"telephone_number": "815-226-0444",
"fax_number": "815-226-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 CHARLES ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611081608",
"telephone_number": "815-226-0444",
"fax_number": "815-226-1819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN PROSTHETICS & ORTHOPEDIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A",
"authorized_official_last_name": "SCHULZE",
"authorized_official_first_name": "ERICH",
"authorized_official_middle_name": "HERBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-226-0444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO, C.PED"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL HMO",
"identifier": "0010180001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41783100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Northern Illinois Retina LTD
- Northern Illinois Scanning
- Northern Illinois Trauma Regional Orthopaedics, LLC
- Northern Illinois Vein Clinic, LLC
- Northern Illinois Women's Center
- Northwest Counseling LLP
- Northwest Fire Protection District Winnebago County Illinois (Northwest Fire Protection District)
- Northwest Home Care, Inc. (Abcor Home Health, Inc.)
- Northwest Suburban Independent Practitioners Association
- Braden G Norton, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.