WILLIS KNIGHTON MEDICAL CENTER, INC. (NPI# 1275685539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275685539 |
| Entity Type | Organization |
| Organization Name | WILLIS KNIGHTON MEDICAL CENTER, INC. |
| Other Organization Name | WK PIERREMONT HEALTH CENTER |
| Practice Address |
8001 Youree Dr Shreveport LA 71115-2302 |
| Mailing Address |
Po Box 32600 Shreveport LA 71130-2600 |
| Practice Telephone | 3182123003 |
| Practice Fax Number | 3182123005 |
| Mailing Telephone | 3182123000 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STACY H ALEXANDER (CONTROLLER) |
| Authorized Official Telephone | 3182124877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 232-C | LA | Hospitals |
| Other Name | Type Code |
|---|---|
| WK Pierremont Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710039896 | Willis Knighton Medical Center, Inc. | Rehabilitation Unit | 1111 Line Avenue, Shreveport, LA 71101 | 2007-01-17 |
| 1144267451 | Willis Knighton Medical Center, Inc. | Skilled Nursing Facility | 2550 Kings Hwy, Shreveport, LA 71103-3922 | 2006-06-02 |
| 1730645201 | Willis Knighton Medical Center, Inc. | Clinic/Center | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2019-02-20 |
| 1003020579 | Willis Knighton Medical Center, Inc. | Clinic/Center | 1111 Line Avenue, Shreveport, LA 71101 | 2007-05-10 |
| 1912059932 | Willis Knighton Medical Center, Inc. | Psychiatric Unit | 1111 Line Avenue, Shreveport, LA 71101 | 2007-01-18 |
| 1124170691 | Willis Knighton Medical Center, Inc. | General Acute Care Hospital | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | 2007-01-17 |
| 1003968579 | Willis Knighton Medical Center, Inc. | General Acute Care Hospital | 2400 Hospital Dr, Bossier City, LA 71111-2385 | 2007-01-17 |
| 1487693149 | Willis Knighton Medical Center, Inc. | Hospice Care, Community Based | 3300 Albert L Bicknell Dr, Suite 3, Shreveport, LA 71103-3903 | 2006-06-06 |
| 1326093782 | Willis Knighton Medical Center, Inc. | Home Health | 3300 Albert L Bicknell Dr, Suite 4, Shreveport, LA 71103-3903 | 2006-05-24 |
| 1568461572 | Willis Knighton Medical Center, Inc. | General Acute Care Hospital | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2005-07-20 |
| Street Address |
8001 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306177 | Stephanie Ann Sockrider | Obstetrics & Gynecology | 8001 Youree Dr, Ste 900, Shreveport, LA 71115-2326 | 2005-06-15 |
| 1376174797 | Jaime Hulsey | Pharmacist | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2020-02-04 |
| 1942857784 | Pam Specialty Hospital of Shreveport LLC | Long Term Care Hospital | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2019-08-26 |
| 1073049995 | Holly Johnson | Nurse Practitioner | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2302 | 2017-05-11 |
| 1598290249 | Wk Pelvic & Reconstructive Surgery | Urology | 8001 Youree Dr, Suite 370, Shreveport, LA 71115-2302 | 2017-05-01 |
| 1871043836 | Willis-knighton Medical System | General Acute Care Hospital | 8001 Youree Dr, 370, Shreveport, LA 71115-2302 | 2016-10-13 |
| 1013375278 | Wk Center for Neurosurgery At Pierremont | Neurological Surgery | 8001 Youree Dr, Suite 850, Shreveport, LA 71115-2302 | 2016-02-03 |
| 1831579077 | Wk Internal Medicine Specialists | Internal Medicine | 8001 Youree Dr, Suite 550, Shreveport, LA 71115-2302 | 2015-06-03 |
| 1992194500 | Wk Urologic Cancer Care | Urology | 8001 Youree Dr, Suite 350, Shreveport, LA 71115-2302 | 2015-01-20 |
| 1164834206 | Jordan Austin Brice | Anesthesiology | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1396073409 | Nelson & Nelson Apmc | General Acute Care Hospital | 9512 Balsa Dr, Shreveport, LA 71115-3127 | 2009-12-01 |
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1417950106 | Christus Health Northern Louisiana | General Acute Care Hospital | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2005-05-27 |
| 1366064016 | The Carpenter Center for Palliative Medicine of Shreveport, LLC | General Acute Care Hospital | 8950 E Kings Hwy, Shreveport, LA 71115-2704 | 2020-05-15 |
| 1427536325 | University Health Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2018-08-02 |
| 1386034387 | Obvamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2015-01-28 |
| 1871927921 | Brfhh Shreveport, LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2013-08-26 |
| 1346585312 | Overton Brooks Va Medical Center | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2012-12-03 |
| 1295974574 | Overton Brooks Vamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2009-02-11 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
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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.