Active NPI
William Lewis Norwood Jr., MD
- Surgery Physician
- Shreveport, LA
National Provider Identifier
1760486609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.02605R
- Practice address
- 2751 Albert Bicknell Drive
Suite 3a
Shreveport, LA 71103-3976 - Phone
- (318) 636-9905
- Fax
- (318) 636-5102
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 02605R | LA | |
| Surgery Physician | 208600000X | MD.02605R | LA | Primary |
Addresses
Primary practice location
2751 Albert Bicknell Drive
Suite 3a
Shreveport, LA 71103-3976
Mailing address
P.O. Box 3858
Shreveport, LA 71133-3858
Phone (318) 636-9905
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020048134 | Other | LA | RR MEDICARE PROVIDER |
| 119613103 | Other | TX | PROVIDER NUMBER |
| 1322881 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02605R | LA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1760486609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3858",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711333858",
"telephone_number": "318-636-9905",
"fax_number": "318-636-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 ALBERT BICKNELL DRIVE",
"address_2": "SUITE 3A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033976",
"telephone_number": "318-636-9905",
"fax_number": "318-636-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORWOOD",
"first_name": "WILLIAM",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "02605R",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.02605R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER",
"identifier": "020048134",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "119613103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1322881",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Stephen Wesley Norton, R.PH.
- Norwood Surgical Specialists, LLC
- Haley Norwood
- Jennifer Burns Norwood, N.P.
- Jeremy Scott Norwood, M.D.
- Nosser & Nosser a Professional Chiropractic Corporation
- Christina M Notarianni, MD
- Nova Vital Iop LLC
- Kelly Valentine Novak, F. N. P.
- Novus Louisiana Medical Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.