Raymond a. Coghlan MD and Willis-Knighton Medical Center

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

RAYMOND A. COGHLAN MD AND WILLIS-KNIGHTON MEDICAL CENTER

Practice address

2551 Greenwood Rd
Suite 150
Shreveport, LA 71103-3981

Phone

(318) 631-9996

Fax

(318) 631-9345

NPI assigned

May 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg J. Gavin

Title

Network Administrator

Phone

(318) 212-4571

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Willis Knighton Medical Center, Inc.

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1144267451

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1003865809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-631-9996",
            "fax_number": "318-631-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-631-9996",
            "fax_number": "318-631-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A. COGHLAN MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-4571"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantieria Ray
• Courtney Rayburn, NCTTP
• Mark Rayburn, R.PH.
• Catrina Rayfield
• Kimberly Rodrica Rayford, DDS
• Daniyal Raza
• Syed Ali Raza
• Syed Musa Raza
• Elena Vladimirovna Razepina, MA,LPC
• MD Ibrahim Razu, MBBS

• Infectious Disease Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Infectious Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.