WK BOSSIER OB-GYN (NPI# 1326080995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326080995 |
| Entity Type | Organization |
| Organization Name | WK BOSSIER OB-GYN |
| Practice Address |
2449 Hospital Dr Suite 260 Bossier City LA 71111-2399 |
| Practice Telephone | 3182127840 |
| Practice Fax Number | 3182127845 |
| Mailing Telephone | 3182127840 |
| Mailing Fax Number | 3182127845 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | MR. GREG J. GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182128780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1452874 | 05 |
| Street Address |
2449 HOSPITAL DR SUITE 260 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862905 | Gerard Dayle Henry | Urology | 2449 Hospital Dr, Ste 280, Bossier City, LA 71111-1900 | 2005-06-22 |
| 1568918076 | Wk Zaffater Eye Center | Ophthalmology | 2449 Hospital Dr, Bossier City, LA 71111-2399 | 2016-08-26 |
| 1982065645 | Wk Spine & Pain Specialists | Pain Medicine | 2449 Hospital Dr, Suite 300, Bossier City, LA 71111-2399 | 2016-03-09 |
| 1609244318 | Bridget Whittington | Physician Assistant | 2449 Hospital Dr, Suite 300, Bossier City, LA 71111-2399 | 2015-09-11 |
| 1841615127 | Leslie Stovall | Nurse Practitioner | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2014-02-24 |
| 1588088827 | Sarah Estess | Nurse Practitioner | 2449 Hospital Dr, Suite 420, Bossier City, LA 71111-2399 | 2014-02-06 |
| 1194169466 | Danielle G. Raley | Family Medicine | 2449 Hospital Dr, Ste 420, Bossier City, LA 71111-2399 | 2013-04-17 |
| 1922348887 | Lauren Gernand Banet | Physician Assistant | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2013-02-28 |
| 1841580776 | David Elkind Hirsch | Anesthesiology | 2449 Hospital Dr, Suite 300, Bossier City, LA 71111-2399 | 2011-04-12 |
| 1811207343 | Kristen G. Robinson | Physician Assistant | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2010-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700206125 | Karen Lillich Berken | Obstetrics & Gynecology | 2400 Hospital Dr Ste 240, Bossier City, LA 71111-2390 | 2014-04-24 |
| 1679576243 | Glenda Johnson | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2005-05-27 |
| 1356986178 | Womens Health Specialists of Bossier | Obstetrics & Gynecology | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2019-11-15 |
| 1245623040 | Wk Bossier Ob Gyn Specialists | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 350, Bossier City, LA 71111-2394 | 2015-03-18 |
| 1952675969 | Dale V Bauman Dr Dale V Bauman Md | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 310, Bossier City, LA 71111-2166 | 2012-03-08 |
| 1215129507 | Willis-knighton Medical Center, Inc. | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 140, Bossier City, LA 71111-2394 | 2007-08-10 |
| 1740482504 | Gina Gomez | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2007-06-04 |
| 1063529410 | Tandy W Mcelwee Jr. | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 140, Bossier City, LA 71111-2394 | 2006-08-23 |
| 1790790467 | Wk Womens Health Associates | Obstetrics & Gynecology | 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | 2006-07-30 |
| 1841222619 | Harry J Mobley Md and Willis-knighton Medical Center | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 340, Bossier City, LA 71111-2394 | 2006-07-06 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on WK BOSSIER OB-GYN.
| 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.