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

Last updated

Jun 8, 2012By 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

Greg J. Gavin

Title

Network Administrator

Phone

(318) 212-4232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

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

• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Member Of

  NPD member

Locations

Practitioners 10

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.

• Mary Melissa Albritton, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bossier City, LA
  • NPI 1275744112
  Medicare reassignment Care Compare group NPD
• Dakota Boston, MD

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

  Single Specialty

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

  • Adult Health Nurse Practitioner
  • Bossier City, LA
  • NPI 1003427899
  Medicare reassignment Care Compare group NPD
• Vickey M Burnett, NP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1295770246
  Medicare reassignment Care Compare group NPD
• Laura Kimball-Ravari, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bossier City, LA
  • NPI 1861437543
  Medicare reassignment Care Compare group NPD
• Joshua David Maier

  • Endocrinology, Diabetes & Metabolism Physician
  • Shreveport, LA
  • NPI 1952512394
  Medicare reassignment Care Compare group NPD
• Sammi R Smith, MD

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1013982693
  Medicare reassignment Care Compare group NPD
• Heather Roan

  • Medical Physician Assistant
  • Bossier City, LA
  • NPI 1558819532
  Medicare reassignment Care Compare group
• Jennifer B Cypher, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1003829706
  Medicare reassignment
• Amy M. Turner, PA

  • Physician Assistant
  • Charleston, SC
  • NPI 1215261672

  LA

  Medicare reassignment

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

{
    "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": "",
            "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

• Endocrinology, Diabetes & Metabolism Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• 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.