Wilson B. Baber MD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

021943 Issued in LA

Legal business name

WILSON B. BABER MD LLC

Doing business as

Ark-La-Tex Retina Consultants, LLC

Practice address

1455 E Bert Koun Loop Ste 207
Shreveport, LA 71105-5634

Phone

(318) 221-3403

Fax

(318) 221-6744

NPI assigned

Feb 23, 2007

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wilson Bloomfield Baber, M.D.NPI 1386649788

Title

Owner

Phone

(318) 221-3403

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ark-La-Tex Retina Consultants, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilson B Baber, MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1386649788

  TX

  Medicare reassignment NPD Authorized official
• Jeffrey M Gosslee, MD

  • Retina Specialist (Ophthalmology) Physician
  • Shreveport, LA
  • NPI 1356320568

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1023143518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44309",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711344309",
            "telephone_number": "318-221-3403",
            "fax_number": "318-221-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUN LOOP STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-221-3403",
            "fax_number": "318-221-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON B. BABER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BABER",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "BLOOMFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-221-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "021943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195783901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1179851",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ark-La-Tex Retina Consultants, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ark-La-Tex Retina Consultants, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerard Lemone Wills
• Kathasha Felicia Wills, BA SOCIAL WORK
• Caitlin Shaye Willsie, FNP-C
• Wilmer Administrative Service
• Aynslee Camille Wilmot
• Alaina Eve Wilson, PA
• Alexis Wilson
• Andre Wilson, B.S.
• Andrew Wilson
• Autumn Wilson, LMSW

• Ophthalmology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.