WK MINIMALLY INVASIVE SURGERY CENTER


Address: 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976
Phone: 3182128299

WK MINIMALLY INVASIVE SURGERY CENTER (NPI# 1619588019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619588019
Entity Type Organization
Organization Name WK MINIMALLY INVASIVE SURGERY CENTER
Practice Address 2751 Albert L Bicknell Dr Ste 3a
Shreveport
LA 71103-3976
Practice Telephone 3182128299
Mailing Telephone 3182128299
Enumeration Date 2020-08-11
Last Update Date 2020-08-11
Authorized Official Name MARY JANE WARD (SENIOR VP FINANCE)
Authorized Official Telephone 3182128299
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 2751 ALBERT L BICKNELL DR STE 3A
City SHREVEPORT
State LA
Zip Code 71103-3976

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740686740 Gregory Allen Melder Specialist/Technologist, Other 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 2014-11-18
1003391160 Amy J Roks Physician Assistant 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 2018-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
Find all providers in zip 71103

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730663907 Ida Molavi Surgery Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 2018-09-24
1962500850 Minimally Invasive Surgery Center of Louisiana Surgery 1534 Elizabeth Ave Ste 400, Shreveport, LA 71101-4531 2006-09-21
1104846989 Kevin Mark Sittig Surgery 1541 Kings Hwy Dept Of, Shreveport, LA 71103-4228 2006-07-21
1285670356 George Robert Merriman II Surgery 949 Olive St, Shreveport, LA 71104-2103 2006-06-20
1417900416 Milon G Karmakar Surgery 3300 Albert L Bicknell Dr, Suite 6, Shreveport, LA 71103-3903 2006-05-18
1821054214 John Davidson Gladney Surgery 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 2006-04-25
1801890769 F Dean Griffen Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-06-09
1053315903 James Booth Burke Surgery 1202 Louisiana Avenue, Shreveport, LA 71101-3910 2005-06-09
1760486609 William Lewis Norwood Jr. Surgery 2751 Albert Bicknell Drive, Suite 3a, Shreveport, LA 71103-3976 2005-06-09
1295289932 Wk Breast Health & Surgical Center Surgery 7843 Youree Dr, Shreveport, LA 71105-5505 2016-08-11
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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