WK Endocrine Specialists

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

WK ENDOCRINE SPECIALISTS

Practice address

2449 Hospital Dr
Suite 400
Bossier City, LA 71111-2399

Phone

(318) 212-7902

Fax

(318) 212-7905

NPI assigned

May 14, 2010

Organization subpart

No

Name

Greg J. Gavin

Title

Network Administrator

Phone

(318) 212-4232

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Melissa Albritton, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bossier City, LA
  • NPI 1275744112

  Endocrinology, Diabetes & Metabolism, LA

  Medicare reassignment Care Compare group NPD
• Dakota Boston, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shreveport, LA
  • NPI 1962899971

  LA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Collette G Brown, NP-C

  • Adult Health Nurse Practitioner
  • Bossier City, LA
  • NPI 1003427899

  LA

  Medicare reassignment Care Compare group NPD
• Vickey M Burnett, NP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1295770246

  LA

  Medicare reassignment Care Compare group NPD
• Laura Kimball-Ravari, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bossier City, LA
  • NPI 1861437543

  Endocrinology, Diabetes & Metabolism, LA

  Medicare reassignment Care Compare group NPD
• Joshua David Maier

  • Endocrinology, Diabetes & Metabolism Physician
  • Shreveport, LA
  • NPI 1952512394

  Endocrinology, Diabetes & Metabolism, LA

  Medicare reassignment Care Compare group NPD
• Sammi R Smith, MD

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1013982693

  LA

  Medicare reassignment Care Compare group NPD
• Heather Roan

  • Medical Physician Assistant
  • Bossier City, LA
  • NPI 1558819532

  LA

  Medicare reassignment Care Compare group
• Jennifer B Cypher, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1003829706

  LA

  Medicare reassignment
• Amy M. Turner, PA

  • Physician Assistant
  • Charleston, SC
  • NPI 1215261672

  LA

  Medicare reassignment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2012.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1073831004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 400",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7902",
            "fax_number": "318-212-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 400",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7902",
            "fax_number": "318-212-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK ENDOCRINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2012-06-08",
        "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": "318-212-4232"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Bossier Surgical Associates
• WK Bossier Urology Clinic
• WK Center for Ear Nose and Throat Disorders
• WK Ctr for Ear Nose and Throat Disorders
• WK Dermatology Clinic
• WK Haughton Medical Group
• WK Internal Medicine and Pediatric Specialists
• WK Louisiana Family Practice
• WK Neurology Clinic
• WK North Bossier ENT

• All providers in Bossier City, LA
• Endocrinology, Diabetes & Metabolism Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.