ROBERT PELFREY MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI# 1285666057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285666057 |
| Entity Type | Organization |
| Organization Name | ROBERT PELFREY MD AND WILLIS-KNIGHTON MEDICAL CENTER |
| Practice Address |
2551 Greenwood Rd Suite 310 Shreveport LA 71103-3981 |
| Mailing Address |
Po Box 3038 Shreveport LA 71133-3038 |
| Practice Telephone | 3182128780 |
| Practice Fax Number | 3182124153 |
| Mailing Telephone | 3182128780 |
| Mailing Fax Number | 3182124153 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182128780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2551 GREENWOOD RD SUITE 310 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061959 | Amit Ahuja | Internal Medicine | 2551 Greenwood Rd, Suite 350, Shreveport, LA 71103-3981 | 2005-05-31 |
| 1457884819 | Wk Center for Endocrinology and Diabetes | Internal Medicine | 2551 Greenwood Rd, Suite 411, Shreveport, LA 71103-3981 | 2017-04-04 |
| 1053762146 | Caleb Harkins | Nurse Practitioner | 2551 Greenwood Rd, Suite #210, Shreveport, LA 71103-3981 | 2016-06-29 |
| 1538513429 | Wk Tri- State Neurosurgery Associates | Neurological Surgery | 2551 Greenwood Rd, Suite 320, Shreveport, LA 71103-3981 | 2016-04-18 |
| 1417326927 | Wk Advanced Laparoscopic and Robotic Surgery Specialists | Surgery | 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103-3981 | 2015-09-15 |
| 1942678511 | James Reginald Hall IIi | Nurse Practitioner | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-09-12 |
| 1437545282 | Wk North Hospitalists Group | Hospitalist | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2015-04-08 |
| 1891198354 | Julie Kajor Broadwell | Physician Assistant | 2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 | 2014-09-29 |
| 1124467733 | Ambrosia T. Holsapple | Nurse Practitioner | 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 | 2013-06-17 |
| 1528406915 | Wkn Tristate Neurology Clinic | Neurological Surgery | 2551 Greenwood Rd, Suite 240, Shreveport, LA 71103-3981 | 2013-06-07 |
| Find all providers in the same location | ||||
| 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 Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1427076777 | Donald Alan Elmajian | Urology | 8001 Youree Dr Ste 350, Shreveport, LA 71115-2326 | 2006-07-17 |
| 1164427621 | Ralph Jonathan Henderson | Urology | 255 Bert Kouns, Shreveport, LA 71106 | 2005-06-20 |
| 1902801467 | James Robert Noble | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| 1013374222 | Lsu Health Sciences Center Shreveport Faculty Group Practice | Urology | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2016-01-19 |
| 1992194500 | Wk Urologic Cancer Care | Urology | 8001 Youree Dr, Suite 350, Shreveport, LA 71115-2302 | 2015-01-20 |
| 1801137906 | Wkp Arklatex Urology Clinic | Urology | 8001 Youree Dr, Suite 580, Shreveport, LA 71115-2302 | 2013-03-14 |
| 1164776290 | Wk Urology At Pierremont | Urology | 8001 Youree Dr, Suite 550, Shreveport, LA 71115-2302 | 2012-10-26 |
| 1407147291 | Andre Paul Broussard | Urology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-04-27 |
| 1417265851 | Brian Confrey Mazzarella | Urology | 255 Bert Kouns, Shreveport, LA 71106-8150 | 2010-09-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on ROBERT PELFREY MD AND WILLIS-KNIGHTON MEDICAL CENTER.
| 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.