ADERONKE AKINGBOLA MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI# 1316982853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316982853 |
Entity Type | Organization |
Organization Name | ADERONKE AKINGBOLA MD AND WILLIS-KNIGHTON MEDICAL CENTER |
Practice Address |
2514 Bert Kouns Loop Suite 1 Shreveport LA 71118-3146 |
Practice Telephone | 3182125806 |
Practice Fax Number | 3182125810 |
Mailing Telephone | 3182125806 |
Mailing Fax Number | 3182125810 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GREG J. GAVIN (NETWORK ADMINISTRATOR) |
Authorized Official Telephone | 3182125806 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
Street Address |
2514 BERT KOUNS LOOP SUITE 1 |
City | SHREVEPORT |
State | LA |
Zip Code | 71118-3146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821027202 | Jeffrey Frank Foss | Emergency Medicine | 2514 Bert Kouns Loop, Suite 6, Shreveport, LA 71118-3146 | 2006-06-30 |
1568498608 | Willis-knighton Medical Center, Inc. | Internal Medicine | 2514 Bert Kouns Loop, Suite 6, Shreveport, LA 71118-3146 | 2006-06-23 |
1346286804 | Brian Babiak Md and Willis-knighton Medical Center | Psychiatry & Neurology | 2514 Bert Kouns Loop, Suite 7, Shreveport, LA 71118-3146 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
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 |
---|---|---|---|---|
1750600748 | Elvin Hardy | Internal Medicine | 505 Seneca Trl, Shreveport, LA 71107-5424 | 2010-05-31 |
1083716344 | Harry L Hawkins Jr. | Internal Medicine | 253 Wedgewood Dr, Shreveport, LA 71105-4125 | 2006-09-05 |
1184663171 | Stephanie Barnes | Internal Medicine | 1534 Elizabeth Ave, Shreveport, LA 71101-4516 | 2006-06-05 |
1225028434 | John M Provenza | Internal Medicine | 8383 Millicent Way Ste B, Shreveport, LA 71115 | 2005-10-27 |
1760478465 | David A. Scott | Internal Medicine | 1801 Fairfield Ave Ste 305, Shreveport, LA 71101-4467 | 2005-09-27 |
1528061959 | Amit Ahuja | Internal Medicine | 2551 Greenwood Rd, Suite 350, Shreveport, LA 71103-3981 | 2005-05-31 |
1861495822 | Michael Bivens Brannan | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103-4022 | 2005-05-24 |
1003285255 | Wk Digestive Disease Consultants | Internal Medicine | 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118-3133 | 2015-09-17 |
1982087755 | Hrishikesh Samant | Internal Medicine | 1501 Kings Hwy, Lsuhsc, Shreveport, LA 71103-4228 | 2015-06-30 |
1255754966 | Christus Highland Physician Group | Internal Medicine | 1453 E Bert Kouns Loop, Shreveport, LA 71105-6800 | 2014-01-31 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71118 |
Please comment or provide details below to improve the information on ADERONKE AKINGBOLA MD AND WILLIS-KNIGHTON MEDICAL 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.