SEAN K TROXCLAIR (NPI# 1740491505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740491505 |
| Entity Type | Individual |
| Full Name | SEAN K TROXCLAIR |
| Credential | M.D. |
| Practice Address |
510 East Stoner Avenue Overton Brooks Va Medical Center Shreveport LA 71101 |
| Mailing Address |
705 Catalpa Cir Shreveport LA 71115-3702 |
| Practice Telephone | 3189904926 |
| Mailing Telephone | 3186179610 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 200734 | LA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
N3359 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD200734 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 200734 | LA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8KP700 | 01 |
| LA | 1071854 | 05 | |
| LA | 07185 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 East Stoner Avenue, Overton Brooks Va Medical Center, Shreveport, LA 71101 | 3189904926 |
| Street Address |
510 EAST STONER AVENUE OVERTON BROOKS VA MEDICAL CENTER |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447263777 | Charles Donovan Tiller | Pharmacist | 510 East Stoner Avenue, Shreveport, LA 71101-4295 | 2006-08-15 |
| 1811093008 | Robert Watson Lukeman | Internal Medicine | 510 East Stoner Avenue, Shreveport, LA 71101-4295 | 2006-09-15 |
| 1023125820 | Manju Singh | Nurse Practitioner | 510 East Stoner Avenue, Overton Brooks Vamc (110), Shreveport, LA 71101 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316271356 | Critical Care Coverage LLC | Internal Medicine | 624 Travis St Ste 300, Shreveport, LA 71101-3014 | 2009-09-23 |
| 1780689224 | Calvin D. Alexander | Internal Medicine | 6046 S Lakeshore Dr, Shreveport, LA 71119-3704 | 2005-06-20 |
| 1508358110 | Rickman Critical Care LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2018-05-31 |
| 1609130475 | Prangthip Charoenpong | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2012-06-26 |
| 1932465358 | Judy Lynn Locati | Internal Medicine | 1501 Kings Hwy, Critical Care Medicine, Shreveport, LA 71103-4228 | 2012-04-10 |
| 1780940320 | Jonathan Sheffield Eaton | Internal Medicine | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2012-04-09 |
| 1306139746 | David Maurice Chambers | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103 | 2011-05-18 |
| 1952606279 | Kirit S Patel Md Apmc | Internal Medicine | 2120 Bert Kouns Industrial Loop, Suite F, Shreveport, LA 71118-3351 | 2011-01-18 |
| 1558441857 | Louisiana State University Health Sciences Center | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-10-17 |
| 1376555672 | John Paul Areno Iv | Internal Medicine | 510 E Stoner Ave, Overton Brooks Vamc, Shreveport, LA 71101-4243 | 2006-08-13 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on SEAN K TROXCLAIR.
| 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.