Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Haughey Schimmoeller, MSPO, CPO

Individual provider Prosthetist · NPI 1184577959

Jack Haughey Schimmoeller, MSPO, CPO is a Prosthetist in Clayton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

166 Springbrook Ave Ste 105
Clayton, NC 27520-8520
Phone: (919) 585-4173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO05844 (NC)

Record details

NPI number1184577959
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPO , CPO
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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