Pro Med Surgical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRO MED SURGICAL, LLC

Practice address

141 Ridgeway Drive
Suite 107
Lafayette, LA 70503-3402

Phone

(337) 761-6555

Fax

(337) 284-3052

NPI assigned

Mar 6, 2018

Last updated

Jul 2, 2021By 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. William Clint Loggins

Title

Owner/Manager

Phone

(337) 781-9021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1679075568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 RIDGEWAY DRIVE",
            "address_2": "SUITE 107",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033402",
            "telephone_number": "337-761-6555",
            "fax_number": "337-284-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 RIDGEWAY DRIVE",
            "address_2": "SUITE 107",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033402",
            "telephone_number": "337-761-6555",
            "fax_number": "337-284-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "LOGGINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLINT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "337-781-9021",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.