HEIDI E WIMBERLY PA-C
NPI 1083797245
Physician Assistant - Medical in Shreveport, LA

Active since October 23, 2006
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY, SHREVEPORT, LA 71103(318) 212-4639(318) 212-8305 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heidi E Wimberly Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI E WIMBERLY PA-C (NPI 1083797245) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (PA200094RX) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083797245
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEIDI E WIMBERLYCredential: PA-C
Location Address2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGYShreveport, LA 71103-3950
Mailing Address2600 Kings Hwy, Department Of Radiation OncologyShreveport, LA 71103-3950 · (318) 212-4639 · Fax (318) 212-8305
Fax(318) 212-8305
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 13, 2011
NPI 1083797245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in LA · PA200094RX
2600 KINGS HWY, Shreveport, LA 71103

Other Identifiers 2

Medicare PIN5F600P790LA
Medicaid1706566LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER
SHREVEPORT, LA 71103
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Obstetrics & Gynecology (Gynecologic Oncology)
2600 KINGS HWY, SUITE 420
SHREVEPORT, LA 71103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Wimberly's NPI number?

The NPI number for Heidi Wimberly is 1083797245. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Heidi Wimberly located?

Heidi Wimberly practices at 2600 Kings Hwy Department Of Radiation Oncology, Shreveport, LA 71103. The listed phone number is (318) 212-4639.

What is Heidi Wimberly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Heidi Wimberly was last updated on January 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.