NPIMap

Organization Active NPI

Omni Orthopedic Services Inc

  • Prosthetic/Orthotic Supplier
  • Effingham, IL
National Provider Identifier
1780870576
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
OMNI ORTHOPEDIC SERVICES INC
Practice address
108 W Washington Ave
Effingham, IL 62401-2354
Phone
(217) 347-2800
Fax
(217) 347-2812
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. David Procter, C.P.O.
Title
President
Phone
(217) 347-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X IL Primary

Addresses

Primary practice location

108 W Washington Ave
Effingham, IL 62401-2354

Mailing address

108 W Washington Ave
Effingham, IL 62401-2354
Phone (217) 347-2800

Other identifiers 1

IdentifierTypeStateIssuer
2570567OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • OmniCare Labs Inc Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

108 W Washington Ave
Effingham, IL 62401
Phone (217) 347-2800

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780870576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W WASHINGTON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012354",
            "telephone_number": "217-347-2800",
            "fax_number": "217-347-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W WASHINGTON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012354",
            "telephone_number": "217-347-2800",
            "fax_number": "217-347-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI ORTHOPEDIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PROCTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-347-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2570567",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OmniCare Labs Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.