WK SPINE & PAIN SPECIALISTS (NPI# 1982065645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982065645 |
Entity Type | Organization |
Organization Name | WK SPINE & PAIN SPECIALISTS |
Practice Address |
2449 Hospital Dr Suite 300 Bossier City LA 71111-2399 |
Practice Telephone | 3182127960 |
Practice Fax Number | 3182127965 |
Mailing Telephone | 3182127960 |
Mailing Fax Number | 3182127965 |
Enumeration Date | 2016-03-09 |
Last Update Date | 2016-03-09 |
Authorized Official Name | MR. GREG J GAVIN (ADMINISTRATOR) |
Authorized Official Telephone | 3182128951 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD.199995 | LA | Allopathic & Osteopathic Physicians |
Street Address |
2449 HOSPITAL DR SUITE 300 |
City | BOSSIER CITY |
State | LA |
Zip Code | 71111-2399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508862905 | Gerard Dayle Henry | Urology | 2449 Hospital Dr, Ste 280, Bossier City, LA 71111-1900 | 2005-06-22 |
1568918076 | Wk Zaffater Eye Center | Ophthalmology | 2449 Hospital Dr, Bossier City, LA 71111-2399 | 2016-08-26 |
1609244318 | Bridget Whittington | Physician Assistant | 2449 Hospital Dr, Suite 300, Bossier City, LA 71111-2399 | 2015-09-11 |
1841615127 | Leslie Stovall | Nurse Practitioner | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2014-02-24 |
1588088827 | Sarah Estess | Nurse Practitioner | 2449 Hospital Dr, Suite 420, Bossier City, LA 71111-2399 | 2014-02-06 |
1194169466 | Danielle G. Raley | Family Medicine | 2449 Hospital Dr, Ste 420, Bossier City, LA 71111-2399 | 2013-04-17 |
1922348887 | Lauren Gernand Banet | Physician Assistant | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2013-02-28 |
1841580776 | David Elkind Hirsch | Anesthesiology | 2449 Hospital Dr, Suite 300, Bossier City, LA 71111-2399 | 2011-04-12 |
1811207343 | Kristen G. Robinson | Physician Assistant | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2010-10-18 |
1801106349 | Joseph A Nicholas | Physician Assistant | 2449 Hospital Dr, Suite 200, Bossier City, LA 71111-2399 | 2010-10-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
Find all providers in zip 71111 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760025001 | Brain & Pain Care, LLC | Pain Medicine | 725 N Ashley Ridge Loop Ste 100, Shreveport, LA 71106-7233 | 2019-10-18 |
1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
1831660596 | Injury Treatment Center of Louisiana, LLC | Pain Medicine | 15814 Professional Plz, Hammond, LA 70403-1453 | 2018-12-06 |
1538673694 | Advanced Pain Management, LLC | Pain Medicine | 6536 Lasalle Ave, Baton Rouge, LA 70806-7318 | 2017-11-28 |
1619417607 | Segura Wellness, LLC | Pain Medicine | 7039 Highway 190 East Service Rd, Suite C, Covington, LA 70433-4961 | 2017-02-24 |
1821431024 | Felman Institute for Wellness and Longevity | Pain Medicine | 455 East Airport Road, Baton Rouge, LA 70806 | 2013-04-08 |
1528203957 | Neuroscience & Pain Institute LLC | Pain Medicine | 50 Louis Prima Dr, Suite A, Covington, LA 70433 | 2008-12-15 |
1740495829 | Firas Hijazi Md Apmc | Pain Medicine | 2149 Augusta Dr, La Place, LA 70068-1711 | 2007-05-11 |
1760598726 | Melanie C. Firmin, Md Apmc | Pain Medicine | 1587 N Bolton Ave Ste 1200, Alexandria, LA 71303 | 2006-08-22 |
1700800828 | Kevin R Martinez | Pain Medicine | 4228 Houma Blvd Ste 510, Suite 510, Metairie, LA 70006-3015 | 2006-07-26 |
Find all providers with the same taxonomy |
City | BOSSIER CITY |
Zip Code | 71111 |
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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.