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

Robert Wilson Eastwood, PA

Individual provider Physician Assistant · NPI 1427269893

Robert Wilson Eastwood, PA is a Physician Assistant in Shreveport, Louisiana. Qualified in 2006, 20 years ago. Practices with Wk Shreveport Internal Medicine, a 6-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
20
Licensed in
LA, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1811 E Bert Kouns Industrial Loop Ste 120
Shreveport, LA 71105-5741
Phone: (318) 212-3738
Fax: (318) 212-3781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.20091 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA08539 (TX)

Record details

NPI number1427269893
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2007
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wk Shreveport Internal Medicine — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport