WK ORTHOPEDIC SPECIALTY CENTER


Address: 2551 Greenwood Rd Ste 130, Shreveport, LA 71103-3984
Phone: 3182128681

WK ORTHOPEDIC SPECIALTY CENTER (NPI# 1255624169) 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) 1255624169
Entity Type Organization
Organization Name WK ORTHOPEDIC SPECIALTY CENTER
Practice Address 2551 Greenwood Rd Ste 130
Shreveport
LA 71103-3984
Practice Telephone 3182128681
Practice Fax Number 3182128685
Mailing Telephone 3182128681
Mailing Fax Number 3182128685
Enumeration Date 2011-05-25
Last Update Date 2012-06-08
Authorized Official Name GREG J GAVIN (NETWORK ADMINSTRATOR)
Authorized Official Telephone 3182124232
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 2169939 05

Office Location

Street Address 2551 GREENWOOD RD STE 130
City SHREVEPORT
State LA
Zip Code 71103-3984

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 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891013637 Charles Marion Lobrano IIi Orthopaedic Surgery 1500 Line Ave Ste 100, Shreveport, LA 71101-4644 2010-05-04
1346451648 Oner Ali Khera Orthopaedic Surgery 8001 Youree Dr Ste 450, Shreveport, LA 71115-2333 2007-05-25
1225149289 James Aaron Albright Orthopaedic Surgery 3932 Fairfield Ave, Shreveport, LA 71106-1014 2006-08-31
1740209519 John Joseph Ward Orthopaedic Surgery 1512 W Kirby Pl, Department of Orthopaedics, Shreveport, LA 71103-3822 2006-07-19
1841229978 Cambize Shahrdar, Jr Jr. Orthopaedic Surgery 7925 Youree Drive, Suite 200, Shreveport, LA 71105-5127 2006-07-01
1184610271 James L Zumbrunnen Orthopaedic Surgery 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 2005-09-23
1598758849 David D Waddell Orthopaedic Surgery 6999 Bickham Rd, Shreveport, LA 71107-8398 2005-08-23
1164427829 Stephen L. Cox Orthopaedic Surgery 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 2005-06-17
1295739001 William L Overdyke Orthopaedic Surgery 1500 Line Avenue, Suite 100, Shreveport, LA 71101 2005-06-09
1174007728 Wk Spine Clinic Orthopaedic Surgery 8001 Youree Dr Ste 450, Shreveport, LA 71115-2333 2018-09-19
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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