WK OB-GYN Associates of Shreveport

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WK OB-GYN ASSOCIATES OF SHREVEPORT

Practice address

8001 Youree Dr Ste 550
Shreveport, LA 71115-2332

Phone

(318) 797-7941

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Mary J Ward

Title

Sr. VP Finance

Phone

(318) 716-4939

Specialties & licenses 1

Addresses

Member of 1

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

• Willis Knighton Medical Center, Inc.

  dba WK Extended Care Center

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1144267451

  Member Of

  NPD member

Practitioners 1

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

• John W Waterfallen, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1164417309
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1144924374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-797-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK OB-GYN ASSOCIATES OF SHREVEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. VP FINANCE",
        "authorized_official_telephone_number": "318-716-4939"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK North Pulmonary & Critical Care
• WK North Shreveport Family Medicine
• WK Northwest Internal Medicine (Willis Knighton Internal Medicine Pierremont Suite 550)
• WK Northwest Louisiana Infectious Disease Consultants
• WK NW Louisiana Infectious Disease Consultants
• WK OB-GYN Concepts
• WK Oral and Maxillofacial Surgery Institute
• WK Orthopedic Clinic
• WK Orthopedic Specialty Center
• WK Pediatric Eye Specialists

• 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 Mar 30, 2023; 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.