NPIMap

Organization Active NPI

Freedom Medical

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1043635568
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
69001171A Issued in IN
Legal business name
FREEDOM MEDICAL
Practice address
7616 Disalle Blvd Ste a
Fort Wayne, IN 46825-3383
Phone
(888) 790-9896
Fax
(260) 451-2530
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Mr. Paul David SchenkelNPI 1326821786
Title
Owner
Phone
(260) 433-7543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 69001171A IN Primary

Addresses

Primary practice location

7616 Disalle Blvd Ste a
Fort Wayne, IN 46825-3383

Mailing address

7616 Disalle Blvd Ste a
Fort Wayne, IN 46825-3383
Phone (888) 790-9896

National Provider Directory

National Provider Directory

Locations

7616 Disalle Blvd
Ste A
Fort Wayne, IN 46825
Phone (260) 433-7543

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1043635568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 DISALLE BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253383",
            "telephone_number": "888-790-9896",
            "fax_number": "260-451-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 DISALLE BLVD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253383",
            "telephone_number": "888-790-9896",
            "fax_number": "260-451-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHENKEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-433-7543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69001171A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.