Individual provider Active NPI

Thomas Steen Trawick Jr., M.D.

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1487652970
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.1023905 Issued in LA
Practice address
8525 Line Ave
Ste a
Shreveport, LA 71106-0000
Phone
(318) 300-4926
Fax
(318) 383-3951
NPI assigned
Jul 8, 2005
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 023905 LA
Internal Medicine Physician 207R00000X MD.1023905 LA Primary

Addresses

Primary practice location

8525 Line Ave
Ste a
Shreveport, LA 71106-0000

Mailing address

8525 Line Ave, Ste a
Shreveport, LA 71106-0000
Phone (318) 300-4926

Other identifiers 1

IdentifierTypeStateIssuer
1487473MedicaidLA

Other names 1

  • Thomas Steen Trawick Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050307000413 LA Practitioner - Internal MedicinePractitioner - Other (Physician) 3678527256 Reassigns benefits to 5 organizations
I20130911000114 AR Practitioner - Pediatric MedicinePractitioner - Emergency MedicinePractitioner - Internal Medicine 3678527256
I20180806001812 TX Practitioner - HospitalistPractitioner - Internal Medicine 3678527256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians
Sureaccess, MD, LLCGroup PAC ID 2567475130, 3 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500

1625 David Raines Rd
Shreveport, LA 71107-5899
Phone (318) 425-2252

8525 Line Ave
Suite a
Shreveport, LA 71106-6105
Phone (318) 300-4926

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.1023905LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince May 20, 2024 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
Wellness Pass by Luraguiz MD Current Accepting new patients
David Raines Community Health Center, Inc CurrentSince May 20, 2024 Accepting new patients
Northeast Louisiana Physicians, LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Sureaccess, MD, LLC Internal Medicine CurrentSince Sep 3, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
David Raines Community Health Center, Inc PastSince Jun 30, 2024 Accepting new patients
David Raines Community Health Center, Inc. PastSince Aug 15, 2021 Accepting new patients

Locations (25 of 34)

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

8525 Line Ave
Ste A
Shreveport, LA 71106
Phone (318) 300-4926

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: thomas.trawick@92173475643396.direct.elationemr.com
  • Direct secure messaging: thomas.trawickjr.p1@direct.davidraineschc.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1487652970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 LINE AVE, STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711060000",
            "telephone_number": "318-300-4926",
            "fax_number": "318-300-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 LINE AVE",
            "address_2": "STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711060000",
            "telephone_number": "318-300-4926",
            "fax_number": "318-383-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWICK",
        "first_name": "THOMAS",
        "middle_name": "STEEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "023905",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.1023905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487473",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "TRAWICK",
            "middle_name": "STEEN",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.