Terrance J Wickman Jr. (NPI# 1356705354, PAC ID# 6305132572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356705354 |
| PAC ID by PECOS | 6305132572 |
| Professional Enrollment ID | I20191121002932 |
| Full Name | Terrance J Wickman Jr. |
| Organization Legal Name | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| Address |
1606 Kings Hwy Shreveport LA 71103-4128 |
| Phone Number | 3186756402 |
| Gender | M |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4082902721 |
| Number of Group Practice Members | 381 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190098 | UNIVERSITY HEALTH SHREVEPORT |
| Address | Phone | Organization |
|---|---|---|
| 1541 Kings Hwy, Shreveport, LA 71103-4228 | 3186755000 | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| 1606 Kings Hwy, Shreveport, LA 71103-4128 | 3186756402 | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| Organization Legal Name | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| Physicians | 382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrie G Pendergrass | Qualified Speech Language Pathologist | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1450 Claiborne Ave, Shreveport, LA 71103-4204 |
| Jennifer S. Singh | Internal Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1405 Kings Hwy Feist Weiller Canctr, Lsu Orthopaedic and Sports Medc, Shreveport, LA 71103-4227 |
| Ashley B Flowers | Pathology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1501 Kings Hwy, Rm 1 201, Shreveport, LA 71103-4228 |
| John Owings | General Surgery | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy Univ Hlth Amb C Clin, Lsu Orthopaedic and Sports Medc, Shreveport, LA 71103-4128 |
| Peimin Zhu | Neurology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1541 Kings Hwy, Shreveport, LA 71103-4228 |
| Joel A Schulman | Ophthalmology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1420 Kings Hwy, Shreveport, LA 71103-4227 |
| Rita M Marascalco King | Nurse Practitioner | Lsu Health Sciences Center-shreveport Faculty Group Practice | 2015 Fairfield Ave 2b Ptrs In Wellness, Lsu Hlth Sci Ctr Shreveport, Shreveport, LA 71104-2066 |
| Dongsoo Kim | Maxillofacial Surgery | Lsu Health Sciences Center-shreveport Faculty Group Practice | 2600 Kings Hwy 300 Wk Hem Onc Clin, Lsu Orthopaedic and Sports Medc, Shreveport, LA 71103-3950 |
| Robert W Moore | Family Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 821 Elliott St, Lsumcs Fam Prac Ctr, Alexandria, LA 71301-7732 |
| Andrew M Werner | Colorectal Surgery (proctology) | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Street Address |
1606 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-4128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew M Werner | Colorectal Surgery (proctology) | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Steven R Bailey | Internal Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Marco E Quispe Leveau | Pediatric Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Linda Angell Nall | Diagnostic Radiology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Randy Richter | Family Medicine | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Adrian P Abreo | Nephrology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Keisha Roichelle Bonyfield | Nurse Practitioner | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Richard Zweig | Neurology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Timothy Hart | Obstetrics/gynecology | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Mary T Kim | Plastic and Reconstructive Surgery | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1606 Kings Hwy, Shreveport, LA 71103-4128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Tayebeh Shokouh-amiri | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tiffany George | Nurse Practitioner | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tymwa Dixon | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Wyche Coleman Iii | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Find all physicians in zip 71103 | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SHREVEPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Terrance J Wickman Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.