DR. SHERMAN S WIGGINS (NPI# 1063402717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063402717 |
| Entity Type | Individual |
| Full Name | DR. SHERMAN S WIGGINS |
| Credential | M.D. |
| Practice Address |
2727 Hearne Ave Suite 300 Shreveport LA 71103-3931 |
| Mailing Address |
Po Box 51008 Shreveport LA 71135-1008 |
| Practice Telephone | 3187989400 |
| Practice Fax Number | 3187983894 |
| Mailing Telephone | 3187989400 |
| Mailing Fax Number | 3187983894 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.018997 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD.018997 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 107224101 | 05 | |
| AR | 127235001 | 05 | |
| LA | RAILROAD MEDICARE | 060021052 | 01 |
| LA | 1973807 | 05 |
| Street Address |
2727 HEARNE AVE SUITE 300 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321881 | Michael Glen Walton | Internal Medicine | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2005-10-25 |
| 1972043511 | Wk Heart and Vascular Institute Chf Clinic | Internal Medicine | 2727 Hearne Ave, Shreveport, LA 71103-3917 | 2017-03-01 |
| 1831633510 | Kerri Lavigne | Physician Assistant | 2727 Hearne Ave, 300, Shreveport, LA 71103-3917 | 2016-12-14 |
| 1063963890 | Alex Stewart | Nurse Practitioner | 2727 Hearne Ave, Ste 300, Shreveport, LA 71103-3917 | 2016-10-17 |
| 1710366570 | James Clay Harris | Nurse Practitioner | 2727 Hearne Ave, Suite 301, Shreveport, LA 71103-3917 | 2015-05-27 |
| 1487914453 | Amy Myers Brainis | Nurse Practitioner | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2012-05-23 |
| 1871877407 | Cassie James Miller | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2011-09-30 |
| 1952610883 | Shannon Lea Betzing | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2010-09-27 |
| 1134457757 | Kelli Marie Neal | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2009-11-19 |
| 1306173638 | Amanda Mariah Savoie | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2009-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745921 | Ark-la-tex Cardiology, Apmc | Internal Medicine | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982951398 | Poojita Shivamurthy | Internal Medicine | 201 4th St Ste 3b, Alexandria, LA 71301-8421 | 2012-08-06 |
| 1720065519 | Paul A Lelorier | Internal Medicine | 533 Bolivar St, Box Csrb 3-42, New Orleans, LA 70112-1349 | 2005-12-22 |
| 1588667364 | William M Bailey | Internal Medicine | 913 S College Rd, Suite 103, Lafayette, LA 70503-3060 | 2005-05-24 |
| 1598024812 | Saad Electrophysiology & Cardiology Inc | Internal Medicine | 3510 Magnolia Cv, Suite 100, Monroe, LA 71203-2372 | 2012-05-07 |
| 1679807093 | Kanwar Yugraj Singh | Internal Medicine | 225 Dunn St, Houma, LA 70360-4413 | 2009-10-01 |
| 1598928418 | Glenn M Polin | Internal Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-07-10 |
| 1538336177 | Robert Howard Drennan | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2008-05-13 |
| 1861672859 | Alvaro Frederico Manrique Garcia | Internal Medicine | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2007-11-07 |
| 1417146283 | Patrick Joseph Welch | Internal Medicine | 200 Beaullieu Drive, Building 1, Lafayette, LA 70508-7230 | 2007-10-17 |
| 1154516938 | Vishal Ashok Vyas | Internal Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2007-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.