WK Womens Health Clinic

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WK WOMENS HEALTH CLINIC

Practice address

2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133

Phone

(318) 688-8804

Fax

(318) 688-5473

NPI assigned

Jul 28, 2008

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) 688-8804

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 8

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

• Amanda Hammad Bunton, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1073879334
  Medicare reassignment Care Compare group NPD
• Bradley C. Colvin, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1710956255
  Medicare reassignment Care Compare group NPD
• Ashley Martin Hirsch, M.D.

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1780974592
  Medicare reassignment Care Compare group NPD
• Frederick John Kinder Jr., MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1326030016
  Medicare reassignment Care Compare group NPD
• Brittany Mathews, WHNP-BC

  • Women's Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1841033800
  Medicare reassignment Care Compare group NPD
• Gregory Phillips, M.D.

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1679784607
  Medicare reassignment Care Compare group NPD
• Archana Sonig, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1093115297
  Medicare reassignment Care Compare group NPD
• Jennifer Haley Waddle, WHCNP

  • Women's Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1366656787
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1124283320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-688-8804",
            "fax_number": "318-688-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP",
            "address_2": "SUITE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-688-8804",
            "fax_number": "318-688-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK WOMENS HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2016-04-13",
        "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": "318-688-8804"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188646",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK Urology
• WK Urology at Pierremont
• WK Vascular Surgery
• WK Vascular Surgical Associates
• WK Vein Specialists
• WK Womens Specialists at South
• WKH Physical Medicine Physicians
• WKMC Cardiovascular Consultants
• WKN Tristate Neurology Clinic
• WKP Arklatex Urology Clinic

• Obstetrics & Gynecology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.