Marilyn'S Medical Freedom, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARILYN'S MEDICAL FREEDOM, INC.

Practice address

4860 Old Mayfield Rd
Paducah, KY 42003-9074

Phone

(270) 534-9713

Fax

(270) 554-4643

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer M Fox

Title

Office Manager

Phone

(270) 534-9713

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1881600641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 OLD MAYFIELD RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039074",
            "telephone_number": "270-534-9713",
            "fax_number": "270-554-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 OLD MAYFIELD RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039074",
            "telephone_number": "270-534-9713",
            "fax_number": "270-554-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN'S MEDICAL FREEDOM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-534-9713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000385287",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45003878",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90012808",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britney Nicole Mansfield
• Elizabeth A Mansfield, ARNP
• Levi Christopher Mansfield, O.D.
• Lauren Payton Mantle
• Tara Leslie Marcum, BA
• Mark L Crawford MD PSC
• Mark L. Crawford M.D., P.S.C.
• Brian Marquess
• Carl W Marquess Jr., MD
• Marshall W Davis Drugs Inc

• Durable Medical Equipment & Medical Supplies in Paducah, KY
• Providers in Paducah, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.