DR. WILLIAM LOY EDDLEMAN (NPI# 1275572265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275572265 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LOY EDDLEMAN |
| Other Name | DR. WILLIAM LOY EDDLEMAN |
| Credential | M.D. |
| Practice Address |
2751 Albert L Bicknell Dr Suite 1a Shreveport LA 71103-3920 |
| Mailing Address |
Po Box 1465 Shreveport LA 71164-1465 |
| Practice Telephone | 3182131025 |
| Practice Fax Number | 3182131027 |
| Mailing Telephone | 3182131025 |
| Mailing Fax Number | 3182131027 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
L05994R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1342807 | 05 |
| Street Address |
2751 ALBERT L BICKNELL DR SUITE 1A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1104374099 | Britney Brown | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2016-09-20 |
| 1831566777 | Summer Leigh Robin | Nurse Practitioner | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-08-26 |
| 1740665694 | Jennifer Michelle Bigbee | Physician Assistant | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-07-21 |
| 1235511981 | Chase C White | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-06-18 |
| 1053705574 | Wellness Center for Skin Therapy LLC | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2015-03-23 |
| 1295123644 | Melissa L Lynn Md Apmc | Internal Medicine | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-01-07 |
| 1225433865 | Courtney Moseley | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3920 | 2014-10-24 |
| 1831527266 | Wk Robotic and Laparoscopic Surgery Clinic | Surgery | 2751 Albert L Bicknell Dr, Suite 3a, Shreveport, LA 71103-3920 | 2013-10-22 |
| 1427484534 | Dustin Greg Allen | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 4a, Shreveport, LA 71103-3920 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598001687 | Rodric Marsh Yeager | Surgery | 7717 Creswell Rd, 46, Shreveport, LA 71106-6000 | 2012-12-18 |
| 1164435475 | Stephen Collier White | Surgery | 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 | 2006-08-15 |
| 1396785945 | Milton Slocum | Surgery | 3300 Albert L Bicknell Dr Ste 3d, Shreveport, LA 71103-3903 | 2006-06-08 |
| 1912901794 | Charles D Knight Jr. | Surgery | 1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA 71105-5634 | 2005-06-09 |
| 1245522564 | Miles A Sugar II | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-04 |
| 1598096240 | Wk Vascular Surgical Associates | Surgery | 2751 Albert L Bicknell Dr, Suite 5a, Shreveport, LA 71103-3920 | 2010-01-20 |
| 1285897132 | Chiranjiv Singh Virk | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2008-07-09 |
| 1851433478 | William L. Eddleman, Md, Apmc | Surgery | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2007-02-12 |
| 1538209697 | Fredrick Willius Knight | Surgery | 2751 Albert L Bicknell Dr, Suite 5-a, Shreveport, LA 71103-3920 | 2007-02-07 |
| 1669413787 | Robert L Barrett | Surgery | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2006-06-09 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.