WK Bossier Pulmonary & Critical Care Clinic

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

WK BOSSIER PULMONARY & CRITICAL CARE CLINIC

Practice address

2400 Hospital Dr
Suite 340
Bossier City, LA 71111-2385

Phone

(318) 747-2277

Fax

(318) 747-2217

NPI assigned

May 3, 2007

Last updated

Dec 19, 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) 212-4232

Specialties & licenses 2

Addresses

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.

  dba WK Renal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shreveport, LA
  • NPI 1003020579

  Member Of

  NPD member

Practitioners 17

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.

• Catrina Lewis, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1548019516
  Medicare reassignment Care Compare group NPD
• Raghu P Nathan, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Bossier City, LA
  • NPI 1457347429
  Medicare reassignment Care Compare group NPD
• Gerardo Santos San Pedro, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Bossier City, LA
  • NPI 1336166255
  Medicare reassignment Care Compare group NPD
• Ronald S Lambert, MD

  • Pulmonary Disease Physician
  • Bossier City, LA
  • NPI 1336196393
  Medicare reassignment NPD
• Howard N Murray, MD

  • Pulmonary Disease Physician
  • Shreveport, LA
  • NPI 1972633303
  NPD
• Sarah Tucker Allen, P.A.

  • Physician Assistant
  • Bossier City, LA
  • NPI 1295088656
  NPD (past)
• William S Cantwell, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, LA
  • NPI 1851592075
  NPD (past)
• Sarah Estess, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1588088827
  NPD (past)
• Jason K Milligan, M.D.

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1114138864
  NPD (past)
• Richard Louis Morrison, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Metairie, LA
  • NPI 1174644801
  NPD (past)
• Nealan Dewayne Prather, MD

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1053340349
  NPD (past)
• Danielle G. Raley, MD

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1194169466
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1215149331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 340",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-747-2277",
            "fax_number": "318-747-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 340",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-747-2277",
            "fax_number": "318-747-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK BOSSIER PULMONARY & CRITICAL CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-12-19",
        "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": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Bossier Internal Medicine
• WK Bossier OB GYN Specialists
• WK Bossier OB-GYN
• WK Bossier Orthopedic & Sports
• WK Bossier Pediatric Partners
• WK Bossier River Cities Interventional Pain Specialists
• WK Bossier Surgical Associates
• WK Bossier Urology Clinic
• WK Center for Ear Nose and Throat Disorders
• WK Ctr for Ear Nose and Throat Disorders

• Pulmonary Disease Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Pulmonary Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.