WK NORTH PULMONARY & CRITICAL CARE (NPI# 1265529648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265529648 |
| Entity Type | Organization |
| Organization Name | WK NORTH PULMONARY & CRITICAL CARE |
| Practice Address |
2551 Greenwood Rd Suite 210 Shreveport LA 71103-3981 |
| Mailing Address |
1202 Louisian Ave. Shreveport LA 71101 |
| Practice Telephone | 3182128946 |
| Practice Fax Number | 3182124153 |
| Mailing Telephone | 3182128546 |
| Mailing Fax Number | 3182124153 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | GREG J. GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182124232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1099252 | 05 |
| Street Address |
2551 GREENWOOD RD SUITE 210 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061959 | Amit Ahuja | Internal Medicine | 2551 Greenwood Rd, Suite 350, Shreveport, LA 71103-3981 | 2005-05-31 |
| 1457884819 | Wk Center for Endocrinology and Diabetes | Internal Medicine | 2551 Greenwood Rd, Suite 411, Shreveport, LA 71103-3981 | 2017-04-04 |
| 1053762146 | Caleb Harkins | Nurse Practitioner | 2551 Greenwood Rd, Suite #210, Shreveport, LA 71103-3981 | 2016-06-29 |
| 1538513429 | Wk Tri- State Neurosurgery Associates | Neurological Surgery | 2551 Greenwood Rd, Suite 320, Shreveport, LA 71103-3981 | 2016-04-18 |
| 1417326927 | Wk Advanced Laparoscopic and Robotic Surgery Specialists | Surgery | 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103-3981 | 2015-09-15 |
| 1942678511 | James Reginald Hall IIi | Nurse Practitioner | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-09-12 |
| 1437545282 | Wk North Hospitalists Group | Hospitalist | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-04-08 |
| 1891198354 | Julie Kajor Broadwell | Physician Assistant | 2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 | 2014-09-29 |
| 1124467733 | Ambrosia T. Holsapple | Nurse Practitioner | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2013-06-17 |
| 1528406915 | Wkn Tristate Neurology Clinic | Neurological Surgery | 2551 Greenwood Rd, Suite 240, Shreveport, LA 71103-3981 | 2013-06-07 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316271356 | Critical Care Coverage LLC | Internal Medicine | 624 Travis St Ste 300, Shreveport, LA 71101-3014 | 2009-09-23 |
| 1780689224 | Calvin D. Alexander | Internal Medicine | 6046 S Lakeshore Dr, Shreveport, LA 71119-3704 | 2005-06-20 |
| 1508358110 | Rickman Critical Care LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2018-05-31 |
| 1609130475 | Prangthip Charoenpong | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2012-06-26 |
| 1932465358 | Judy Lynn Locati | Internal Medicine | 1501 Kings Hwy, Critical Care Medicine, Shreveport, LA 71103-4228 | 2012-04-10 |
| 1780940320 | Jonathan Sheffield Eaton | Internal Medicine | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2012-04-09 |
| 1306139746 | David Maurice Chambers | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103 | 2011-05-18 |
| 1952606279 | Kirit S Patel Md Apmc | Internal Medicine | 2120 Bert Kouns Industrial Loop, Suite F, Shreveport, LA 71118-3351 | 2011-01-18 |
| 1558441857 | Louisiana State University Health Sciences Center | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-10-17 |
| 1376555672 | John Paul Areno Iv | Internal Medicine | 510 E Stoner Ave, Overton Brooks Vamc, Shreveport, LA 71101-4243 | 2006-08-13 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on WK NORTH PULMONARY & CRITICAL CARE.
| 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.