WK PIERREMONT PEDIATRICS


Address: 1811 E Bert Kouns Industrial Loop, Suite 140, Shreveport, LA 71105-5563
Phone: 3187979000

WK PIERREMONT PEDIATRICS (NPI# 1376745794) 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) 1376745794
Entity Type Organization
Organization Name WK PIERREMONT PEDIATRICS
Practice Address 1811 E Bert Kouns Industrial Loop
Suite 140
Shreveport
LA 71105-5563
Practice Telephone 3187979000
Practice Fax Number 3187979275
Mailing Telephone 3187979000
Mailing Fax Number 3187979275
Enumeration Date 2007-06-05
Last Update Date 2012-06-12
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 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1448907 05

Office Location

Street Address 1811 E BERT KOUNS INDUSTRIAL LOOP
SUITE 140
City SHREVEPORT
State LA
Zip Code 71105-5563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700881299 Alan John Borne Internal Medicine 1811 E Bert Kouns Industrial Loop, Suite 440, Shreveport, LA 71105-5740 2005-06-20
1871018127 Tucker L Kifer Nurse Practitioner 1811 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5740 2017-08-08
1427505254 Wk Pierremont Associates In Internal Medicine Internal Medicine 1811 E Bert Kouns Industrial Loop, Suite 130, Shreveport, LA 71105-5740 2016-09-09
1235513151 Brandy Rambin Nurse Practitioner 1811 E Bert Kouns Industrial Loop, Suite 110, Shreveport, LA 71105-5740 2015-07-10
1972947034 Steven D Abney Psychologist 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 2013-04-19
1568728178 Jai P Munjampalli Pain Medicine 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 2012-04-09
1659561082 Alan J Borne, M D, Apmc Internal Medicine 1811 E Bert Kouns Industrial Loop, Suite 440, Shreveport, LA 71105-5740 2007-08-01
1487681730 Wendy Mcbride Moses Family Medicine 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5740 2006-06-26
1962447052 Wk River Cities Interventional Pain Anesthesiology 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 2006-06-20
1629019047 Webb Internal Medicine, LLC Internal Medicine 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5740 2006-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619311438 Amanda Vice Haynie Pediatrics 2225 Line Avenue, Mid City Pediatrics, Shreveport, LA 71104 2013-04-23
1487913976 Greg M Oji Pediatrics 2508 Bert Kouns Industrial Loop Ste 320, Shreveport, LA 71118-3154 2012-05-03
1497011001 Tamara Lynn Moore Pediatrics 1811 E Bert Kouns Industrial Loop Ste 140, Shreveport, LA 71105-5741 2012-04-09
1316228984 Choice Pediatrics, LLC Pediatrics 6930 Fern Ave, Suite 150, Shreveport, LA 71105-4100 2011-09-08
1598077323 Virginia Homza Carter Pediatrics 909 Olive St, Shreveport, LA 71104 2010-07-09
1891938239 Nicolette Humphries Pediatrics 2518 Bert Kouns Ind. Loop, Shreveport, LA 71118-3112 2009-04-15
1407042435 Hester Suh Pediatrics 2709 Mackey Ln, Shreveport, LA 71118-2556 2007-09-24
1639203367 Suyah M Loud Pediatrics 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 2007-03-15
1891833869 Holliway Medical Clinic LLC Pediatrics 3824 Hearne Ave, Shreveport, LA 71103 2007-02-02
1134295520 D Gene Mack Jr Md and Willis-knighton Medical Center Pediatrics 1799 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5561 2006-11-28
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Competitor

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City SHREVEPORT
Zip Code 71105

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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