Physician Assistant, Surgical
SCOTT GILLUM PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1114003076 · enumerated 2006-10-31 · record updated 2021-07-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 7925 YOUREE DR, SUITE 200, SHREVEPORT, LA, 71105-5127 (318) 212-3610 Fax (318) 212-3672 Google Maps Apple Maps OpenStreetMap
- Mailing address 7925 YOUREE DR, SUITE 200, SHREVEPORT, LA, 71105-5127 (318) 212-3610 Fax (318) 212-3672 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License PA200106 LA
Published links
In this directory
Locations and evidence
-
Practice location
SHREVEPORT, LA, 711055127
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.