Prosthetic and Orthotic Care LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC AND ORTHOTIC CARE LLC

Doing business as

P & O Care

Practice address

13 Executive Dr
Suite 13
Fairview Heights, IL 62208-1342

Phone

(618) 212-0006

Fax

(618) 212-0010

NPI assigned

Nov 8, 2006

Last updated

Nov 11, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Joseph Weber

Title

Chief Executive Officer

Phone

(314) 775-2041

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• P & O Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1629148739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 OLD DES PERES RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-775-2041",
            "fax_number": "314-775-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EXECUTIVE DR",
            "address_2": "SUITE 13",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081342",
            "telephone_number": "618-212-0006",
            "fax_number": "618-212-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC AND ORTHOTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-775-2041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625748603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P & O Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P & O Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.