WK DERMATOLOGY CLINIC (NPI# 1538372883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538372883 |
| Entity Type | Organization |
| Organization Name | WK DERMATOLOGY CLINIC |
| Practice Address |
2300 Hospital Dr Suite 400 Bossier City LA 71111-2394 |
| Mailing Address |
Wk Bossier Medical Office Bldg 2 2300 Hospital Dr, Suite 400 Bossier City LA 71111-2394 |
| Practice Telephone | 3182127800 |
| Practice Fax Number | 3182127805 |
| Mailing Telephone | 3182127800 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | MARY JANE WARD (SENIOR VP FINANCE) |
| Authorized Official Telephone | 3182128780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1811 E Bert Kouns Industrial Loop Ste 160, Shreveport, LA 711055741 | 3182123440 | 3182123448 |
| Street Address |
2300 HOSPITAL DR SUITE 400 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010939 | Norman A. Zaffater Jr. | Ophthalmology | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2005-08-17 |
| 1861860629 | Wk Premier Pediatrics | Pediatrics | 2300 Hospital Dr, Suite 420, Bossier City, LA 71111-2394 | 2015-09-10 |
| 1245623040 | Wk Bossier Ob Gyn Specialists | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 350, Bossier City, LA 71111-2394 | 2015-03-18 |
| 1851783955 | Wk Internal Medicine and Pediatric Specialists | Pediatrics | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2015-02-26 |
| 1508295338 | Wk Bossier Hyperbaric and Wound Care Center | Family Medicine | 2300 Hospital Dr, Suite 130, Bossier City, LA 71111-2394 | 2013-11-02 |
| 1912345208 | Wk Behavorial Health Med Center | Psychiatry & Neurology | 2300 Hospital Dr, Suite 340, Bossier City, LA 71111-2394 | 2013-06-07 |
| 1356784359 | Wk Ctr for Ear Nose and Throat Disorders | Otolaryngology | 2300 Hospital Dr, Suite 460, Bossier City, LA 71111-2394 | 2013-04-10 |
| 1104172535 | Stacey Wright Eaves | Nurse Practitioner | 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111-2394 | 2012-08-03 |
| 1972863231 | Robert Charles Smith II | Family Medicine | 2300 Hospital Dr, Suite 200, Bossier City, LA 71111-2394 | 2012-05-21 |
| 1750647376 | Adrian Pavlick | Family Medicine | 2300 Hospital Dr, Suite 180, Bossier City, LA 71111-2394 | 2012-04-09 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144333857 | George Michael Kent | Dermatology | 2910 Shed Rd, Bossier City, LA 71111-3154 | 2006-08-16 |
| 1093916140 | Sarah E. Glorioso | Dermatology | 2300 Hospital Dr., Suite 400, Bossier City, LA 71111-2180 | 2007-05-29 |
| 1609846500 | Josephine Futrell | Dermatology | 2300 Hospital Dr, Suite 400, Bossier City, LA 71111-2394 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939526 | Mcdaniel Dermatology, LLC | Dermatology | 109 New Camellia Blvd Ste 200, Covington, LA 70433-7829 | 2020-10-09 |
| 1851919005 | Cenla Dermatology | Dermatology | 1587 N Bolton Ave Ste 1300, Alexandria, LA 71303-4255 | 2020-07-13 |
| 1457904658 | Advanced Skin Care | Dermatology | 3434 Prytania St Ste 420, New Orleans, LA 70115-3502 | 2019-07-17 |
| 1821551573 | Mara Haseltine Md LLC | Dermatology | 3100 Galleria Dr Ste 203, Metairie, LA 70001-2196 | 2019-04-10 |
| 1851865869 | Southern Dermatology of New Orleans | Dermatology | 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115-7403 | 2019-01-14 |
| 1235643891 | Esthetic Md | Dermatology | 3769 Pontchartrain Dr Ste 3, Slidell, LA 70458-4852 | 2017-11-18 |
| 1235678558 | Family Dermatology Specialists, LLC | Dermatology | 3421 N Causeway Boulevard, Suite 202, Metairie, LA 70002-3759 | 2017-02-20 |
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1982098836 | Tyson Meaux | Dermatology | 101 Rue Fontaine, Lafayette, LA 70508-5744 | 2015-03-27 |
| 1447678610 | Stratton Grisoli | Dermatology | 150 Lakeview Cir, Covington, LA 70433-7512 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.