Milton Slocum MD Apmc

Primary specialty

SpecialistTaxonomy code 174400000X

License

020179 Issued in LA

Legal business name

MILTON SLOCUM MD APMC

Practice address

3300 Albert L Bicknell Dr
Suite 7B
Shreveport, LA 71103-3903

Phone

(318) 635-5151

Fax

(318) 635-9191

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Milton Moore Slocum, MDNPI 1396785945

Title

MD/Owner

Phone

(318) 635-5151

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milton Slocum, M.D.

  • Vascular Surgery Physician
  • Shreveport, LA
  • NPI 1396785945
  NPD (past) Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1801056502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ALBERT L BICKNELL DR",
            "address_2": "SUITE 7B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033903",
            "telephone_number": "318-635-5151",
            "fax_number": "318-635-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ALBERT L BICKNELL DR",
            "address_2": "SUITE 7B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033903",
            "telephone_number": "318-635-5151",
            "fax_number": "318-635-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON SLOCUM MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "318-635-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "020179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151977901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548570",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brown Mills
• Ty'Reginesha Reshay Mills
• Joseph W Milner Jr., MD
• Kelly M Milstead, D.D.S.
• Marion E Milstead, MD
• Caleb Johan Milton, RBT
• Quanerick Milton
• Victor Milus
• Wenona Milus, M.ED, RSW
• Mycheal L Mimes

• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.