WK URGENT CARE CENTER-SOUTH (NPI# 1891083457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891083457 |
| Entity Type | Organization |
| Organization Name | WK URGENT CARE CENTER-SOUTH |
| Other Organization Name | QUICK CARE SOUTH |
| Practice Address |
2520 Bert Kouns Industrial Loop Suite 105 Shreveport LA 71118-3130 |
| Practice Telephone | 3182125520 |
| Practice Fax Number | 3182125540 |
| Mailing Telephone | 3182125520 |
| Mailing Fax Number | 3182125540 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | MR. STEVE RANDALL (ADMINISTRATOR) |
| Authorized Official Telephone | 3182128785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 023750 | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 022420 | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 200321 | LA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 017191 | LA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Quick Care South | Other Name - Individual/Organization |
| Street Address |
2520 BERT KOUNS INDUSTRIAL LOOP SUITE 105 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770510273 | James W. Thompson Md and Willis-knighton Medical Center | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 102, Shreveport, LA 71118-3130 | 2006-06-28 |
| 1598137374 | Jamiee Brice | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-10-20 |
| 1336516533 | Holly Rivers | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-24 |
| 1639545692 | Angela Moyer | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-13 |
| 1467555805 | Harold W King Dds Apdc | Dentist | 2520 Bert Kouns Industrial Loop, Ste 104, Shreveport, LA 71118 | 2006-09-07 |
| 1962512673 | Ravindra Howard Goel | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 105b, Shreveport, LA 71118-3130 | 2006-08-30 |
| 1184658635 | Thanh Dai Vo | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2006-07-10 |
| 1093747297 | Gary Dean Williams | Internal Medicine | 2520 Bert Kouns Industrial Loop, Suite 202, Shreveport, LA 71118-3130 | 2006-07-07 |
| 1598796583 | Gary Williams Md and Willis-knighton Medical Center | Internal Medicine | 2520 Bert Kouns Industrial Loop, Suite 202, Shreveport, LA 71118-3130 | 2006-07-06 |
| 1164453858 | James Wainwright Thompson | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 102, Shreveport, LA 71118-3130 | 2006-07-05 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1528609104 | Spectra Family Clinic, LLC | Family Medicine | 9300 Mansfield Rd Ste 209, Shreveport, LA 71118-3138 | 2019-10-04 |
| 1922502327 | Courtney Morgan | Family Medicine | 723 Milam St, Shreveport, LA 71101-3507 | 2018-03-20 |
| 1174973317 | Patrick Michael Fitz-gerald | Family Medicine | 731 Coachlight Rd, Shreveport, LA 71106-7205 | 2016-06-19 |
| 1437446341 | Samreena N Sara | Family Medicine | 8835 Line Ave Ste 400a, Shreveport, LA 71106-6722 | 2011-06-30 |
| 1932490554 | Michael Thomas Kitchell | Family Medicine | 1666 E Bert Koun Loop Ste 105, Shreveport, LA 71105-5718 | 2011-04-30 |
| 1831402254 | David J. Colvin Md LLC | Family Medicine | 148 Waters Edge Dr, Shreveport, LA 71106-7774 | 2010-07-15 |
| 1952628802 | Tri Pham | Family Medicine | 133 Charles Ave, Shreveport, LA 71105-3719 | 2010-04-30 |
| 1669799524 | Stephanie James | Family Medicine | 2120 Bert Kouns Industrial Loop Ste M, Shreveport, LA 71118-3355 | 2010-04-30 |
| 1205062965 | Charles Henry Nash | Family Medicine | 5935 Gilbert Dr, Shreveport, LA 71106-2315 | 2009-06-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on WK URGENT CARE CENTER-SOUTH.
| 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.