Freedom Diabetic Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM DIABETIC INC.

Practice address

9928 Old Ocean City Blvd
Unit 9
Berlin, MD 21811-1122

Phone

(410) 641-1811

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By 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. Mark Wayne Hammond

Title

President

Phone

(410) 641-1811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1033483284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9928 OLD OCEAN CITY BLVD",
            "address_2": "UNIT 9",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111122",
            "telephone_number": "410-641-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9928 OLD OCEAN CITY BLVD",
            "address_2": "UNIT 9",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111122",
            "telephone_number": "410-641-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DIABETIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-641-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Etenyi Fomengia, CRNP
• Samantha Frank
• Fran Karen Franklin, LCSW
• Franko and Gordana Stepcic, M.D., P.a.
• Free State Anesthesia Services LLC
• Freedom Health Direct, LLC.
• Anna M Freeman, PA
• Chloe French, CPM
• Tesher Ariel Freng, PHARMD
• Katherine Frisch, RN

• Durable Medical Equipment & Medical Supplies in Berlin, MD
• Providers in Berlin, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.