WK PEDIATRIC PULMONOLOGY SPECIALISTS (NPI# 1376910240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376910240 |
| Entity Type | Organization |
| Organization Name | WK PEDIATRIC PULMONOLOGY SPECIALISTS |
| Practice Address |
2530 Bert Koun Loop Suite 114 Shreveport LA 71118-3132 |
| Practice Telephone | 3182125781 |
| Practice Fax Number | 3182125785 |
| Mailing Telephone | 3182125781 |
| Mailing Fax Number | 3182125785 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3182125780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| Street Address |
2530 BERT KOUN LOOP SUITE 114 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205851144 | Leigh Anne Norman | Audiologist | 2530 Bert Koun Loop, Suite 131, Shreveport, LA 71118-3132 | 2006-07-13 |
| 1467855361 | Wk South Audiology Center | Audiologist | 2530 Bert Koun Loop, Suite 131, Shreveport, LA 71118-3132 | 2014-10-06 |
| 1689087355 | Wk Womens Specialists At South | Obstetrics & Gynecology | 2530 Bert Koun Loop, Suite 112, Shreveport, LA 71118-3132 | 2014-06-10 |
| 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 | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518354224 | Sasikumar Kilaikode Cheruveettara | Pediatrics | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2015-04-20 |
| 1235159112 | Kimberly Lynn Jones | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Pulmonary Care, Shreveport, LA 71103-4228 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780633248 | Michael Kiernan | Pediatrics | 4720 S. I-10 Service Rd. West, Ste 101, Metairie, LA 70001 | 2006-05-10 |
| 1871561241 | Adrienne Prestirdge Savant | Pediatrics | 1430 Tulane Ave Dept Of, New Orleans, LA 70112-2632 | 2006-03-10 |
| 1477526598 | Stephen D Levine | Pediatrics | 120 Innwood Dr, Covington, LA 70433-9123 | 2006-02-09 |
| 1205836558 | David E Thomas | Pediatrics | 2355 Drusilla Ln, Baton Rouge, LA 70809-1443 | 2005-07-28 |
| 1508863002 | Eduardo J Hernandez | Pediatrics | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2005-06-30 |
| 1972873545 | William W Waring Sr. | Pediatrics | 123 Walnut St, #905, New Orleans, LA 70118-4847 | 2012-01-12 |
| 1306164926 | Andres Carrion- Vargas | Pediatrics | 7777 Hennessy Blvd, Suite 406, Baton Rouge, LA 70808-4300 | 2010-05-06 |
| 1235263724 | Our Lady of The Lake Regional Medical Center | Pediatrics | 8415 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806-7851 | 2007-03-15 |
| 1972645216 | Our Lady of The Lake Regional Medica | Pediatrics | 7777 Hennessy Blvd, Plaza 1 Suite 406, Baton Rouge, LA 70810 | 2007-02-13 |
| 1922186188 | Kristin N. Van Hook | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on WK PEDIATRIC PULMONOLOGY SPECIALISTS.
| 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.