Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ralph Willard Baucum III, MD

Individual provider Cardiovascular Disease Physician · NPI 1295735793

Dr. Ralph Willard Baucum III, MD is a Cardiovascular Disease (Cardiology) in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1988, 38 years ago. Practices with Advanced Cardiovascular Specialists, a 21-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
38
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6800
Phone: (318) 222-3695
Fax: (318) 424-0717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 019833 (LA)

Record details

NPI number1295735793
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJanuary 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1988 (38 years in practice)
Group practice Advanced Cardiovascular Specialists — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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