WK Family Medicine Ruston

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WK FAMILY MEDICINE RUSTON

Practice address

2916 N Trenton St
Ruston, LA 71270-2444

Phone

(318) 254-2892

Fax

(318) 635-9857

NPI assigned

Mar 7, 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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 5

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

• Benson Albert Grigsby, M.D.

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1487687513
  Medicare reassignment Care Compare group NPD
• Payton Barrett Whiddon, MD

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1528647567
  Medicare reassignment Care Compare group NPD
• Emery Leigh Aaron, PA-C

  • Physician Assistant
  • Ruston, LA
  • NPI 1942907852
  Medicare reassignment Care Compare group
• Charles A. Furr III, PA

  • Physician Assistant
  • Ruston, LA
  • NPI 1295988517
  Medicare reassignment Care Compare group
• Megan W Walpole, PAC

  • Medical Physician Assistant
  • Union City, GA
  • NPI 1841439387

  LA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295435337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702444",
            "telephone_number": "318-254-2892",
            "fax_number": "318-635-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702444",
            "telephone_number": "318-254-2892",
            "fax_number": "318-635-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK FAMILY MEDICINE RUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.
• Rebekah Wisterman
• Gabriel Milan Witherington, BCBA
• Paige H Witt, PT
• WK Primary Care Ruston
• WK Ruston Pediatrics
• Ashley P Wood, OT
• Kelise Woods
• Sheena Woods

• Family Medicine Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.