WK CENTER FOR PEDIATRIC GASTROENTEROLOGY (NPI# 1720620784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720620784 |
Entity Type | Organization |
Organization Name | WK CENTER FOR PEDIATRIC GASTROENTEROLOGY |
Practice Address |
Wk Center for Pediatric Gastroenterology 2530 Bert Kouns Industrial Loop, Ste 113 Shreveport LA 71118 |
Practice Telephone | 3182125811 |
Practice Fax Number | 3182125844 |
Mailing Telephone | 3182125811 |
Mailing Fax Number | 3182125844 |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |
Authorized Official Name | MARY JANE WARD (SENIOR VP FINANCE) |
Authorized Official Telephone | 3182128951 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
Street Address |
WK CENTER FOR PEDIATRIC GASTROENTEROLOGY 2530 BERT KOUNS INDUSTRIAL LOOP, STE 113 |
City | SHREVEPORT |
State | LA |
Zip Code | 71118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1407304843 | Natoria Womack | Behavioral Analyst | 2715 Mackey Pl Ste., Shreveport, LA 71118 | 2016-09-14 |
Find all providers in zip 71118 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437572765 | Deepthi Sankepalli | Pediatrics | 2530 Bert Kouns Industrial Loop Ste 113, Shreveport, LA 71118 | 2014-01-22 |
1730155581 | Sunny Zaheed Hussain | Pediatrics | 2508 Bert Koun Loop, Suite 101, Shreveport, LA 71118-3133 | 2006-02-23 |
1831334051 | Pediatric Gi Specialists, LLC | Pediatrics | 1801 Fairfield Ave, Suite 305, Shreveport, LA 71101-4467 | 2008-12-03 |
1962422980 | John Joseph Herbst | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Gastroenterology, Shreveport, LA 71103-4228 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730276841 | Dedrick E. Moulton | Pediatrics | Children's Hosptial, 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-10-09 |
1619952918 | Sophie Lanciers | Pediatrics | 4809 Beau Lac Ln, Metairie, LA 70002-1456 | 2005-12-08 |
1952918245 | Lara Lauter | Pediatrics | 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809-3481 | 2020-09-30 |
1184169773 | Sabine Medical Associates, Inc | Pediatrics | 210 Highland Dr, Many, LA 71449-3718 | 2017-01-05 |
1982063780 | Acadiana Pediatric Gastroenterology and Hepatology | Pediatrics | 101 Guilbeau Rd, Lafayette, LA 70506-6138 | 2016-02-22 |
1194169961 | Laquatre R. Rhodes | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2013-04-24 |
1366793374 | Patricio A Arias | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-10-01 |
1285993170 | Baton Rouge General Physicians Hospital Specialists | Pediatrics | 3401 North Blvd, Baton Rouge, LA 70806-3743 | 2012-05-11 |
1194012187 | Russell Franklin Zwiener | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2011-06-29 |
1528202876 | Erika Vogel Smith | Pediatrics | 1315 Jefferson Hwy, New Orleans, LA 70121-2406 | 2009-04-29 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71118 |
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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.