WK REGIONAL TRANSPLANT CENTER (NPI# 1093059073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093059073 |
| Entity Type | Organization |
| Organization Name | WK REGIONAL TRANSPLANT CENTER |
| Practice Address |
2751 Albert L Bicknell Dr 4th Floor Shreveport LA 71103-3920 |
| Practice Telephone | 3182124275 |
| Practice Fax Number | 3182124555 |
| Mailing Telephone | 3182124275 |
| Mailing Fax Number | 3182124555 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182124532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2751 ALBERT L BICKNELL DR 4TH FLOOR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1104374099 | Britney Brown | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2016-09-20 |
| 1831566777 | Summer Leigh Robin | Nurse Practitioner | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-08-26 |
| 1740665694 | Jennifer Michelle Bigbee | Physician Assistant | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-07-21 |
| 1235511981 | Chase C White | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-06-18 |
| 1053705574 | Wellness Center for Skin Therapy LLC | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2015-03-23 |
| 1295123644 | Melissa L Lynn Md Apmc | Internal Medicine | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-01-07 |
| 1225433865 | Courtney Moseley | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3920 | 2014-10-24 |
| 1831527266 | Wk Robotic and Laparoscopic Surgery Clinic | Surgery | 2751 Albert L Bicknell Dr, Suite 3a, Shreveport, LA 71103-3920 | 2013-10-22 |
| 1427484534 | Dustin Greg Allen | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 4a, Shreveport, LA 71103-3920 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528307238 | Wk Transplant Physicians | Transplant Surgery | 2751 Albert L Bicknell Dr, 4th Floor, Shreveport, LA 71103-3920 | 2013-02-01 |
| 1972526598 | Robert Word Mcmillan | Transplant Surgery | 1501 Kings Hwy, Department of Surgery, Tranplant, Shreveport, LA 71103-4228 | 2006-07-25 |
| 1477573301 | Donnie Franklin Aultman | Transplant Surgery | 1501 Kings Hwy, Department of Surgery, Transplant, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1497775282 | Gazi Baderkhan Zibari | Transplant Surgery | 1501 Kings Hwy, Department of Surgery, Transplant, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1831155688 | Hosein M Shokouh-amiri | Transplant Surgery | 1501 Kings Hwy, Attn Surgery Business Manager, Shreveport, LA 71103-4228 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366657793 | Jacob Emile Dowden | Transplant Surgery | 200 W Esplanade Ave Ste 210, Kenner, LA 70065-2473 | 2007-05-11 |
| 1881652352 | Hoonbae Jeon | Transplant Surgery | 1415 Tulane Ave Fl 6, New Orleans, LA 70112 | 2006-05-03 |
| 1538129135 | Mary T Killackey | Transplant Surgery | 1415 Tulane Ave # Tw-35, New Orleans, LA 70112-2600 | 2006-03-27 |
| 1043213069 | David S Bruce | Transplant Surgery | 1514 Jefferson Highway, New Orleans, LA 70121 | 2005-05-23 |
| 1134413792 | Sixto G Giusti | Transplant Surgery | 1415 Tulane Ave Fl 6, New Orleans, LA 70112-2600 | 2011-06-01 |
| 1831427806 | John Brentley Seal | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2009-12-02 |
| 1467688812 | Kofi Atiemo | Transplant Surgery | 1415 Tulane Ave Fl 6, New Orleans, LA 70112 | 2009-05-29 |
| 1164683074 | Emily Marie Bugeaud | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-06-23 |
| 1104092899 | Trevor William Reichman | Transplant Surgery | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2008-05-02 |
| 1477733087 | Humberto Elias Bohorquez | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-11-12 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on WK REGIONAL TRANSPLANT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.