Freedom Prosthetics Ms LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM PROSTHETICS MS LLC

Practice address

7360 Highway 1
Suite 3
Mansura, LA 71350-4206

Phone

(601) 892-7745

Fax

(601) 892-7746

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Morris MoncureNPI 1619096476

Title

Owner

Phone

(601) 892-7745

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Morris Lee Moncure

  • Durable Medical Equipment & Medical Supplies
  • Mansura, LA
  • NPI 1619096476
  NPD (past) Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1992232722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MARION AVE",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 HIGHWAY 1",
            "address_2": "SUITE 3",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504206",
            "telephone_number": "601-892-7745",
            "fax_number": "601-892-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PROSTHETICS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MONCURE",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-892-7745"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Domangue
• Julie Ann Ducote, FNP
• Austin T Dufrene, DPT
• Anitra Degrusha Dunbar, FNP-C
• Lauren Dupas
• Renada Fulton, LMSW
• Mylaina N Gary, PT, DPT
• Robbi Glass, LOTR
• Kathryn Krea Gorsha
• Great River Orthopedic and Sports Medicine Center, Inc.

• Durable Medical Equipment & Medical Supplies in Mansura, LA
• Providers in Mansura, 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 May 11, 2017; 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.