WK Regional Transplant Center

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

Legal business name

WK REGIONAL TRANSPLANT CENTER

Practice address

2751 Albert L Bicknell Dr
4TH Floor
Shreveport, LA 71103-3920

Phone

(318) 212-4275

Fax

(318) 212-4555

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 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) 212-4532

Specialties & licenses 1

Addresses

Locations

Practitioners 22

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.

• Hosein M Shokouh-Amiri, M.D.

  • Transplant Surgery Physician
  • Shreveport, LA
  • NPI 1831155688
  NPD
• Andre' Jacob Carpenter, P.A.

  • Physician Assistant
  • Shreveport, LA
  • NPI 1255618591
  NPD (past)
• Taeyong Choi, M.D.

  • Surgery Physician
  • Shreveport, LA
  • NPI 1790149557

  Transplant Surgery

  NPD (past)
• Mark Alan Cogburn, LPC,LMFT

  • Clinical Nurse Specialist
  • Shreveport, LA
  • NPI 1952458713
  NPD (past)
• Andrew Christopher Crane, MD

  • Surgery Physician
  • Shreveport, LA
  • NPI 1548783038
  NPD (past)
• Sejal M Desai, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1104477181
  NPD (past)
• Emma Dixon

  • Physician Assistant
  • Shreveport, LA
  • NPI 1588536346
  NPD (past)
• Elizabeth Michelle Doolittle, PA-C

  • Medical Physician Assistant
  • Bossier City, LA
  • NPI 1609097070

  Single Specialty

  NPD (past)
• Shimekia Y. Evans, APRN

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1942868880
  NPD (past)
• Alana Marie Hofmann, MD

  • Transplant Surgery Physician
  • Shreveport, LA
  • NPI 1750885695
  NPD (past)
• Beth Nicole Jayroe, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1447976758
  NPD (past)
• Roderick Kelly, PA

  • Physician Assistant
  • Fort Polk, LA
  • NPI 1275637472
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1093059073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "4TH FLOOR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR",
            "address_2": "4TH FLOOR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK REGIONAL TRANSPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "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": "318-212-4532"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Portico Pediatrics
• WK Psychology Specialty Center
• WK Radiation Oncology Services
• WK Red River Cardiovascular Surgeons
• WK Regional Perinatal Group
• WK Rheumatology Pierremont
• WK River Cities Interventional Pain
• WK Robotic and Laparoscopic Surgery Clinic
• WK Shreveport Behavioral Wellness Center
• WK Shreveport Breast Center

• Transplant Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Transplant Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.