Professional Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROFESSIONAL MEDICAL SUPPLIES LLC

Practice address

111 E 6TH Ave
Oakdale, LA 71463-2615

Phone

(318) 215-9399

Fax

(318) 215-9899

NPI assigned

Jul 13, 2006

Last updated

Apr 20, 2008By 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. Mitchell Joseph Pellerin, CEO

Title

Owner

Phone

(318) 215-9399

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jeffery Jake Lafleur, M.D.

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1578559407
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699790568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 6TH AVE",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632615",
            "telephone_number": "318-215-9399",
            "fax_number": "318-215-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 6TH AVE",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632615",
            "telephone_number": "318-215-9399",
            "fax_number": "318-215-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PELLERIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-215-9399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629251",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyatt Allen Parks, RPH
• Patrick S. Savoy, M.D., a Professional Medical Corporation
• Patrick S. Savoy, MD, a Professional Medical Corporation
• Preferred Wellness
• Professional Anesthesia Network, Inc.
• Michael Dale Prosperie, MD
• Quality Medical Care and Services, LLC
• Ross Dale Ramsey, D.C.
• Veronica Kay Ray
• Red River Medical Nutrition LLC

• Durable Medical Equipment & Medical Supplies in Oakdale, LA
• Providers in Oakdale, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.