Christopher Wilson, MD
Orthopaedic Surgery in Shreveport, LA. Individual provider (NPI-1).
NPI number1073408357
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1073408357
- Entity type
- Individual (NPI-1)
- Name
- Christopher Wilson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 347166 | LA | Yes |
Practice location
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-675-4313
Mailing address
Po Box 33932Shreveport, LA 71130-3932
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 54 Orthopaedic Surgery Physician providers in Shreveport · All 11,081 providers in Shreveport
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