WK NORTH ORTHOPEDIC CLINIC


Address: 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920
Phone: 3182128776

WK NORTH ORTHOPEDIC CLINIC (NPI# 1306823596) 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) 1306823596
Entity Type Organization
Organization Name WK NORTH ORTHOPEDIC CLINIC
Practice Address 2751 Albert L Bicknell Dr
Suite 1-b
Shreveport
LA 71103-3920
Mailing Address 1202 Louisiana Ave
Shreveport
LA 71101-3910
Practice Telephone 3182128776
Practice Fax Number 3182128774
Mailing Telephone 3182128776
Mailing Fax Number 3182128774
Enumeration Date 2005-12-28
Last Update Date 2012-06-08
Authorized Official Name GREG J GAVIN (NETWORK ADMINISTRATOR)
Authorized Official Telephone 3182124232
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1447838 05

Office Location

Street Address 2751 ALBERT L BICKNELL DR
SUITE 1-B
City SHREVEPORT
State LA
Zip Code 71103-3920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104374099 Britney Brown Physician Assistant 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 2016-09-20
1831566777 Summer Leigh Robin Nurse Practitioner 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 2015-08-26
1740665694 Jennifer Michelle Bigbee Physician Assistant 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 2015-07-21
1235511981 Chase C White Nurse Practitioner 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 2015-06-18
1053705574 Wellness Center for Skin Therapy LLC Nurse Practitioner 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 2015-03-23
1295123644 Melissa L Lynn Md Apmc Internal Medicine 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 2015-01-07
1225433865 Courtney Moseley Physician Assistant 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3920 2014-10-24
1831527266 Wk Robotic and Laparoscopic Surgery Clinic Surgery 2751 Albert L Bicknell Dr, Suite 3a, Shreveport, LA 71103-3920 2013-10-22
1427484534 Dustin Greg Allen Physician Assistant 2751 Albert L Bicknell Dr, Suite 4a, Shreveport, LA 71103-3920 2013-09-20
1114367976 Wk North Laparoscopic Surgical Associates Surgery 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3920 2013-06-26
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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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710095690 Bone & Joint Clinic Orthopaedic Surgery 1202 Louisiana Ave, Shreveport, LA 71101-3910 2006-08-29
1689619769 R Shane Barton Md and Willis-knighton Medical Center Orthopaedic Surgery 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5538 2006-06-20
1275529083 Richard Shane Barton Orthopaedic Surgery 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5538 2005-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003337478 Orthopaedic Clinic of Monroe Orthopaedic Surgery 309 Mcmillan Rd, West Monroe, LA 71291-5323 2017-07-06
1669926887 Kindl Works LLC Orthopaedic Surgery 1570 Lindberg Dr Ste 6, Slidell, LA 70458 2016-08-04
1033536529 David Leslie Orthopaedic Surgery 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 2014-03-24
1215290580 Paul Phillips Iv Orthopaedic Surgery 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 2012-06-20
1295938892 Michael Jesse Mcnulty Iv Orthopaedic Surgery 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 2007-06-09
1205925070 Ronald D. Sylvest Orthopaedic Surgery 7414 Picardy, Ste A, Baton Rouge, LA 70808 2006-10-12
1336144757 William S Bundrick Orthopaedic Surgery 2449 Hospital Dr Ste 200, Bossier City, LA 71111-2382 2005-06-14
1013574961 Ochsner Clinic Foundation Orthopaedic Surgery 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 2019-05-28
1891216263 Orthopaedic Clinic of Monroe Orthopaedic Surgery 707 S Vienna St, Ruston, LA 71270-5845 2017-07-06
1154876670 Orthobr LLC Orthopaedic Surgery 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 2016-08-25
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Competitor

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City SHREVEPORT
Zip Code 71103

Improve Information

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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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