WK ADULT MEDICINE SPECIALISTS (NPI# 1548746852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548746852 |
| Entity Type | Organization |
| Organization Name | WK ADULT MEDICINE SPECIALISTS |
| Practice Address |
2508 Bert Koun Loop Ste 300 Shreveport LA 71118-3100 |
| Practice Telephone | 3182125757 |
| Practice Fax Number | 3182125779 |
| Mailing Telephone | 3182125757 |
| Mailing Fax Number | 3182125779 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182128951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2508 BERT KOUN LOOP STE 300 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3100 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003975079 | Shreveport Family Medicine Inc | Family Medicine | 7505 Pines Road, Suite 1250, Shreveport, LA 71129-3927 | 2006-12-06 |
| 1750491635 | Nancy Dupaquier | Family Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337073 | Brighter Days Treatment Centers LLC | Family Medicine | 2509 Broadmoor Blvd Ste B, Monroe, LA 71201-3184 | 2020-05-12 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1417340233 | Asghar M Bajwa Md. LLC | Family Medicine | 1421 General Taylor Street, New Orleans, LA 70115 | 2015-03-18 |
| 1144573098 | Jeryl Reiser-parmenter Do LLC | Family Medicine | 1320 Prentiss Ave, New Orleans, LA 70122 | 2012-10-16 |
| 1740553569 | Pelican Clinic LLC | Family Medicine | 214 Fourpark Place, Suite A, Lafayette, LA 70507-2481 | 2012-02-10 |
| 1508144700 | In-home Physician Services of Louisiana | Family Medicine | 2024 Lac Cache Ct, Baton Rouge, LA 70816-8363 | 2011-07-22 |
| 1881880763 | Pma Medical Treatment Centers, LLC | Family Medicine | 613 Williams Blvd, Kenner, LA 70062-7635 | 2007-09-24 |
| 1619182045 | Susan E Uhrich | Family Medicine | 1214 W Veterans Meml Dr, Kaplan, LA 70548-4518 | 2007-05-11 |
| 1336261635 | Sangeeta A Shah | Family Medicine | 211 Kaliste Saloom Rd, Lafayette, LA 70508 | 2007-04-06 |
| 1255474466 | Myra Louise Anderson | Family Medicine | 879 Milling Ave, Luling, LA 70070-4442 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on WK ADULT MEDICINE SPECIALISTS.
| 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.