WK Urology at Pierremont

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

WK UROLOGY AT PIERREMONT

Practice address

8001 Youree Dr
Suite 550
Shreveport, LA 71115-2302

Phone

(318) 212-2840

Fax

(318) 212-2848

NPI assigned

Oct 26, 2012

Last updated

Jan 6, 2016By 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) 212-4235

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.

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

  Member Of

  NPD member

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1164776290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-2840",
            "fax_number": "318-212-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-2840",
            "fax_number": "318-212-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK UROLOGY AT PIERREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2016-01-06",
        "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": "318-212-4235"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Urgent Care Center-Pierremont
• WK Urgent Care Center-South
• WK Urologic Cancer Care
• WK Urologic Oncology Pierremont
• WK Urology
• WK Vascular Surgery
• WK Vascular Surgical Associates
• WK Vein Specialists
• WK Womens Health Clinic
• WK Womens Specialists at South

• Urology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.