WK PALMETTO FAMILY PRACTICE (NPI# 1588270581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588270581 |
| Entity Type | Organization |
| Organization Name | WK PALMETTO FAMILY PRACTICE |
| Practice Address |
4200 Palmetto Rd Benton LA 71006-9420 |
| Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3187164950 |
| Mailing Telephone | 3182128299 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MARY JANE WARD (SENIOR VP FINANCE) |
| Authorized Official Telephone | 3182128299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4200 PALMETTO RD |
| City | BENTON |
| State | LA |
| Zip Code | 71006-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450517 | Just Health | Clinic/Center | 7076 La-3, Benton, LA 71006 | 2020-06-02 |
| 1982819678 | Robert Carroll Denmon | Pharmacist | 5604 Hwy 3, Freds Pharmacy # 1534, Benton, LA 71006 | 2007-05-14 |
| 1326174202 | David W Loftin | Pharmacist | 5604 Benton Rd, Benton, LA 71006 | 2007-02-26 |
| 1720163587 | Wayne Holden Marionneaux | Dentist | 192 Burt Blvd, Bentone, LA 71006 | 2006-10-27 |
| 1558478925 | Freds Stores of Tennessee Inc | Pharmacy | 5604 Hwy 3, Benton, LA 71006 | 2006-08-23 |
| 1861404683 | Rolling Rehab LLC | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2006-08-12 |
| 1932327608 | Shanna D. Johnson | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2007-04-20 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1942373410 | Brookshire Grocery Company | Pharmacy | 6280 Highway 3, Attention Pharmacy Dept, Benton, LA 71006-3492 | 2006-11-15 |
| 1669854253 | Dao B Kha | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2015-06-19 |
| Find all providers in zip 71006 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245641273 | Austin Beck | Family Medicine | 83 Wellness Way Lane, 1st Floor, Benton, KY 42025-7156 | 2014-05-13 |
| 1245415389 | Comprehensive Family Health Care LLC | Family Medicine | 142 S Winchester St, Benton, MO 63736-0000 | 2008-01-08 |
| 1891816153 | Patricia G Mcgarry | Family Medicine | 6640 Congo Rd., Benton, AR 72019-6913 | 2007-04-03 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1235209198 | Lisa Rebecca Barker | Family Medicine | 1304 Military Rd, Benton, AR 72015-2911 | 2006-11-08 |
| 1194821884 | Troy Glen Moore | Family Medicine | 5539 Atlantic Cv, Benton, AR 72019-8563 | 2006-09-16 |
| 1619071024 | Marvin Norwood Kirk | Family Medicine | 1102 B W. South Street, Benton, AR 72015-4066 | 2006-09-08 |
| 1780797035 | Aleksander Ivanovich Malakhov | Family Medicine | Highway 411 South, Benton, TN 37307-0308 | 2006-08-17 |
| 1215956602 | Ralph I Latta | Family Medicine | 501 N Duquoin, Benton, IL 62812-5228 | 2006-07-18 |
| 1154359867 | Janet L Morehouse Md and Willis-knighton Medical Center | Family Medicine | 188 Burt Blvd, Suite A, Benton, LA 71006-4900 | 2006-06-29 |
| Find all providers in BENTON | ||||
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| 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.