FREEDOM SPINE, LLC (NPI# 1134650708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134650708 |
| Entity Type | Organization |
| Organization Name | FREEDOM SPINE, LLC |
| Practice Address |
29301 N Dixie Ranch Rd Lacombe LA 70445-5403 |
| Practice Telephone | 9858714114 |
| Practice Fax Number | 9858714130 |
| Mailing Telephone | 9858714114 |
| Mailing Fax Number | 9858714130 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | DR. JOHN B LOGAN (OWNER) |
| Authorized Official Telephone | 9858714114 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD.020254 | LA | Other Service Providers |
| Street Address |
29301 N DIXIE RANCH RD |
| City | LACOMBE |
| State | LA |
| Zip Code | 70445-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538135868 | John Brisbane Logan | Orthopaedic Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1366973935 | Spine Innovations, LLC | Specialist | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2017-03-24 |
| 1295266195 | Intraoperative Neurophysiological Monitoring | Prevention Professional | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2017-03-22 |
| 1609316322 | Dietze & Logan Spine Specialist, LLC | Orthopaedic Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2017-02-28 |
| 1235520164 | Amy St. Romain | Physical Therapist | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2015-02-13 |
| 1851571863 | Lisa Ann Gust | Physical Therapist | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2007-11-07 |
| 1609842947 | Susan J Bryant | Physical Medicine & Rehabilitation | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1013983378 | Lorenzo Boykin Fisher | Nurse Practitioner | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1316913635 | Donald David Dietze Jr. | Neurological Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062265 | B E Counseling Services | Social Worker | 31196 Highway 190, Lacombe, LA 70445 | 2020-08-06 |
| 1033777479 | Northshore Extended Care Hospital, LLC | Long Term Care Hospital | 64030 La 434, Lacombe, LA 70445 | 2019-05-31 |
| 1265910210 | Lacombe Dental LLC | Dentist | 27403 Hwy 190 Su A, Lacombe, LA 70445 | 2018-08-01 |
| 1053826081 | Lisa M Sandifer | Case Manager/Care Coordinator | 27428 Charlotte St, Lacombe, LA 70445 | 2017-12-13 |
| 1710438932 | Amanda R Leonard | Counselor | 61149 Beulah Street, Lacombe, LA 70445 | 2016-10-24 |
| 1598183899 | Bayou Wellness Center Inc | Clinic/Center | 27403 Hwy 190, Suite B, Lacombe, LA 70445 | 2014-04-03 |
| 1104131135 | Anthony B Bondi | Pharmacist | 28079 Us Hwy 190, Lacombe, LA 70445 | 2010-08-14 |
| 1376729962 | Heather Stewart | Speech-Language Pathologist | 24265 Cane Bayou Lane, Lacombe, LA 70445 | 2008-01-14 |
| 1710166368 | Louisiana Heart Hospital Proffesion Fee, LLC | Radiology | 64030 La Hwy 434, Lacombe, LA 70445 | 2007-10-31 |
| 1104953736 | Stella Jan Borges | Pharmacist | 27395a Hwy 190, Lacombe, LA 70445 | 2007-02-28 |
| Find all providers in zip 70445 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821291980 | Surgical Spine Specialists, LLC | Specialist | 29301 N. Dixie Ranch Road, Lacombe, LA 70445-2290 | 2007-06-07 |
| 1366973935 | Spine Innovations, LLC | Specialist | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2017-03-24 |
| 1225217664 | Neurological Surgery of Covington Pllc | Specialist | 64040 Hwy 434, Ste 200, Lacombe, LA 70445 | 2007-11-02 |
| 1457562738 | Professional Electrophysiological Medical Services | Specialist | 29301 N. Dixie Ranch Rd., Lacombe, LA 70445-2290 | 2007-05-25 |
| 1811979974 | Michael Charles Finn | Specialist | 64040 Highway 434, Suite 200, Lacombe, LA 70445-3499 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088417 | Shanteau Sylvester | Specialist | 100 Handy Hill Rd, Mer Rouge, LA 71261-6900 | 2020-06-16 |
| 1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
| 1194363317 | Dorothy Morton | Specialist | 2720 Cedarlawn Dr, Marrero, LA 70072-5414 | 2019-12-18 |
| 1083251086 | Total Medical Billing and Healthcare Services LLC | Specialist | 5836 S Oak Dr, Marrero, LA 70072-5257 | 2019-12-09 |
| 1942863337 | Big Easy Podiatry LLC | Specialist | 3600 Prytania St Ste 75, New Orleans, LA 70115-3674 | 2019-04-21 |
| 1801369855 | Juequita Lashawn Wicker | Specialist | 3180 Convention St Ste B, Baton Rouge, LA 70806-3711 | 2019-01-02 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1710480736 | Schnell Surgical Services LLC. | Specialist | 3117 Saint Rene St, Metairie, LA 70001-4137 | 2018-03-15 |
| 1841707031 | Jonnika D Allen | Specialist | 3868 Irwin Kuntz Dr, Harvey, LA 70058-2129 | 2018-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.