WK PIERREMONT ENDOCRINE CENTER (NPI# 1265840268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265840268 |
| Entity Type | Organization |
| Organization Name | WK PIERREMONT ENDOCRINE CENTER |
| Practice Address |
1811 E Bert Koun Loop Suite 480 Shreveport LA 71105-5740 |
| Practice Telephone | 3182122810 |
| Practice Fax Number | 3182122818 |
| Mailing Telephone | 3182122810 |
| Mailing Fax Number | 3182122818 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182128780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
1811 E BERT KOUN LOOP SUITE 480 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073509535 | Stuart Louis Blum | Specialist | 1811 E Bert Koun Loop, Suite 110, Shreveport, LA 71105-5740 | 2005-09-21 |
| 1972956134 | Wk Family Medicine Partners At Pierremont | Family Medicine | 1811 E Bert Koun Loop, Ste 120, Shreveport, LA 71105-5740 | 2016-07-22 |
| 1235523002 | Wk Pierremont Cardiology | Internal Medicine | 1811 E Bert Koun Loop, Suite 210, Shreveport, LA 71105-5740 | 2015-03-19 |
| 1972900033 | Marissa Bruce | Physician Assistant | 1811 E Bert Koun Loop, Suite 110, Shreveport, LA 71105-5740 | 2014-12-04 |
| 1528300076 | David Juan | Student in an Organized Health Care Education/Training Program | 1811 E Bert Koun Loop, Shreveport, LA 71105 | 2013-03-22 |
| 1699043687 | Lyubov Olenina | Internal Medicine | 1811 E Bert Koun Loop, Suite 480, Shreveport, LA 71105-5740 | 2011-12-06 |
| 1295052462 | Ishita Patel | Legal Medicine | 1811 E Bert Koun Loop, Shreveport, LA 71105-5740 | 2010-04-28 |
| 1447587407 | Pamela Barron Craig | Registered Nurse | 1811 E Bert Koun Loop, Suite 110, Shreveport, LA 71105-5740 | 2009-11-12 |
| 1124064985 | Stephen Germain Cassiere | Internal Medicine | 1811 E Bert Koun Loop, Suite 130, Shreveport, LA 71105-5740 | 2006-06-21 |
| 1225002918 | Anil Chhabra | Internal Medicine | 1811 E Bert Koun Loop, Suite 210, Shreveport, LA 71105-5740 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1699260083 | Md Clinics LLC | Internal Medicine | 850 Olive St, Shreveport, LA 71104-2162 | 2018-06-27 |
| 1457884819 | Wk Center for Endocrinology and Diabetes | Internal Medicine | 2551 Greenwood Rd, Suite 411, Shreveport, LA 71103-3981 | 2017-04-04 |
| 1033544465 | Binod Pokhrel | Internal Medicine | 850 Olive St Ste A, Shreveport, LA 71104-2162 | 2013-09-04 |
| 1528323193 | Rajini Kanth Reddy Yatavelli | Internal Medicine | 1501 Kings Hwy, Endocrinology, Shreveport, LA 71103-4228 | 2012-07-10 |
| 1053504662 | Michelle A Chico | Internal Medicine | 1455 E. Bert Kouns, Shreveport, LA 71105 | 2007-08-27 |
| 1649374786 | Subhashini Yaturu | Internal Medicine | Overton Brooks Va Medical Center, Shreveport, LA 71101 | 2006-09-11 |
| 1306950555 | Robert M Hoeldtke | Internal Medicine | 1501 Kings Hwy, Department of Medicine - Endocrinology, Shreveport, LA 71130-4228 | 2006-08-17 |
| 1376564047 | David Eyring Scarborough | Internal Medicine | 1501 Kings Hwy, Department of Medicine Endocrinology, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1124049895 | Steven Neil Levine | Internal Medicine | 1501 Kings Hwy, Department of Medicine Endocrinology, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1912933292 | Surender K Arora | Internal Medicine | 510 E Stoner Ave, 111 (medical Service/ Endocrinology), Shreveport, LA 71101-4243 | 2006-06-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| 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.