WK BOSSIER UROLOGY CLINIC (NPI# 1548291735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548291735 |
| Entity Type | Organization |
| Organization Name | WK BOSSIER UROLOGY CLINIC |
| Practice Address |
2300 Hospital Dr Suite 340 Bossier City LA 71111-2394 |
| Practice Telephone | 3182127788 |
| Practice Fax Number | 3182127795 |
| Mailing Telephone | 3182127788 |
| Mailing Fax Number | 3182127795 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182127788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2300 HOSPITAL DR SUITE 340 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862905 | Gerard Dayle Henry | Urology | 2449 Hospital Dr, Ste 280, Bossier City, LA 71111-1900 | 2005-06-22 |
| 1881857035 | Wk Arklatex Urology and Prostate Cancer Institute | Urology | 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2382 | 2008-07-08 |
| 1760691752 | Christopher M. Wilson | Urology | 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 | 2007-05-22 |
| 1326257304 | Elizabeth C Harrel | Urology | 2300 Hospital Drive, Suite 400, Bossier City, LA 71111 | 2007-05-22 |
| 1679615207 | Ark La Tex Urology & Prostate Cancer Institute, A Professional Medical | Urology | 2300 Hospital Dr, Suite 400, Bossier City, LA 71111-2394 | 2007-02-12 |
| 1326087354 | William Stewart Bundrick Jr. | Urology | 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1326483678 | Tonye A Jones Jr. | Urology | 105 Medical Center Dr Ste 202, Slidell, LA 70461-5538 | 2013-04-30 |
| 1174966600 | Matthew Donald Strain | Urology | 1111 Medical Center Blvd Ste 650, Marrero, LA 70072 | 2013-04-15 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1336436252 | Omer Raheem | Urology | 3525 Prytania St Ste 614, New Orleans, LA 70115 | 2011-06-29 |
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1164730917 | Jed Robinson | Urology | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2010-09-15 |
| 1508181421 | Alvin Simon Merlin | Urology | 4525 Hessmer Ave, Metairie, LA 70002-1525 | 2010-04-03 |
| 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.