One Source Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ONE SOURCE INC.

Practice address

1346 Lindberg Dr Ste 8
Slidell, LA 70458-8081

Phone

(228) 875-3828

Fax

(228) 436-3580

NPI assigned

Feb 6, 2020

Last updated

Aug 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ONE SOURCE INC.As reported in NPPES

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

Authorized official

Name

William K WadeNPI 1902393614

Title

VP

Phone

(228) 424-5222

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

One Source Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William K Wade, BOCP, COF, C.PED.

  • Prosthetist
  • Ocean Springs, MS
  • NPI 1902393614
  NPD (past) Authorized official

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1154953321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644370",
            "telephone_number": "228-875-3828",
            "fax_number": "228-436-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 LINDBERG DR STE 8",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588081",
            "telephone_number": "228-875-3828",
            "fax_number": "228-436-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE SOURCE INC.",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "228-424-5222"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524534",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kloepfer Olsen, DPT
• Renee Elizabeth Oltmann
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• Optimum Foot Care, L.L.C.
• Alisha Ordes, FNP-C
• Thomas J Orgeron, M.D.
• Sarah Grace Ory, LMT

• Prosthetic/Orthotic Supplier in Slidell, LA
• Providers in Slidell, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.