William L. Eddleman, MD, Apmc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

05994R Issued in LA

Legal business name

WILLIAM L. EDDLEMAN, MD, APMC

Practice address

2751 Albert L Bicknell Dr
Suite 1a
Shreveport, LA 71103-3920

Phone

(318) 213-1025

Fax

(318) 213-1027

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

William Loy Eddleman, M.D.

Title

Owner

Phone

(318) 213-1025

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jodi Little Mullens, NP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1831263490
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1851433478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1465",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711641465",
            "telephone_number": "318-213-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "SUITE 1A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-213-1025",
            "fax_number": "318-213-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. EDDLEMAN, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "EDDLEMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-213-1025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "05994R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342807",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Wilkinson
• Christina Ashley Willard
• Grace Willcox
• Katlin Willey
• William D Parker MD and Willis-Knighton Medical Center
• Laerica Williams Brown
• Williams Counseling Services of Shreveport, LLC
• Williams Property and Transportation Services, Inc
• Williams Way Transportation LLC
• Tresselar Y. Williams-Lee, LCSW

• Vascular Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Vascular Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.