Derrick L Stevenson (NPI# 1235352485, PAC ID# 6406042241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1235352485 |
| PAC ID by PECOS | 6406042241 |
| Professional Enrollment ID | I20101119000092 |
| Full Name | Derrick L Stevenson |
| Address |
12117 Providence Rd Shreveport LA 71129-8521 |
| Phone Number | 3184651996 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12117 Providence Rd, Shreveport, LA 71129-8521 | 3184651996 |
| Street Address |
12117 PROVIDENCE RD |
| City | SHREVEPORT |
| State | LA |
| Zip | 71129-8521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Murphy | Optometry | 6235 Westport Ave, Shreveport, LA 71129-2503 | |
| Tonya M Clayton | Internal Medicine | 6821 Pines Rd, Suite 200, Shreveport, LA 71129-2547 | |
| James S May | Family Medicine | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
| Kaytlin H Hughes | Nurse Practitioner | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
| Dharam P Gurwara | Physical Medicine and Rehabilitation | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 | |
| Abubakar D Ibrahim | Emergency Medicine | 6821 Pines Rd, Suite 300, Shreveport, LA 71129-2547 | |
| Krishna Raj Singh | Internal Medicine | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 | |
| Mark D Guice | Chiropractic | 7645 Pines Rd, Shreveport, LA 71129-3905 | |
| Jaschandria I Bailey | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
| Shelia L. Jackson | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
| Find all physicians in zip 71129 | |||
| City | SHREVEPORT |
| Zip Code | 71129 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SHREVEPORT + CLINICAL SOCIAL WORKER |
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| 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.