OrganizationActive
One Source Inc.
NPI 1073511812 · Prosthetic/Orthotic Supplier · Ocean Springs, MS
Provider details
- NPI number
- 1073511812
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- William Wade, Vice President(228) 875-3828
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3004 Bienville Blvd
Suite 1
Ocean Springs, MS 39564-4370
Phone: (228) 875-3828
Street-level locationGet directions
Mailing address
3004 Bienville Blvd
Ocean Springs, MS 39564-4370
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.