WK ALLERGY AND ASTHMA CLINIC (NPI# 1760939987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760939987 |
| Entity Type | Organization |
| Organization Name | WK ALLERGY AND ASTHMA CLINIC |
| Practice Address |
2300 Hospital Dr Ste 345 Bossier City LA 71111-2194 |
| Mailing Address |
2300 Hospital Dr Suite 110 Bossier City LA 71111-2394 |
| Practice Telephone | 3182277946 |
| Mailing Telephone | 3182277946 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | GREG J GAVIN (MANAGED CARE CREDENTIALING) |
| Authorized Official Telephone | 3182128951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians |
| Street Address |
2300 HOSPITAL DR STE 345 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2194 |
| 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 | 207KI0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Clinical & Laboratory Immunology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217252 | Peter Bryan Boggs | Allergy & Immunology | 2300 Hospital Dr, Suite 110, Bossier City, LA 71111-2394 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427416171 | Immunolase LLC | Allergy & Immunology | 1901 Manhattan Blvd Bldg D, Harvey, LA 70058-3583 | 2016-02-09 |
| 1639597768 | Elizabeth Renee Smith | Allergy & Immunology | 101 Rue Fontaine Bldg 2, Lafayette, LA 70508-5744 | 2014-04-05 |
| 1295786192 | Manuel Lopez | Allergy & Immunology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-05-15 |
| 1346232212 | Bina E Joseph | Allergy & Immunology | 320 Settlers Trace Blvd, Lafayette, LA 70508 | 2005-08-17 |
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on WK ALLERGY AND ASTHMA CLINIC.
| 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.