Willis Knighton Medical Center Inc. Crna Group

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WILLIS KNIGHTON MEDICAL CENTER INC. CRNA GROUP

Practice address

2600 Greenwood Rd
Shreveport, LA 71103-3908

Phone

(318) 212-4072

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Edwin Francis, MASTER OF SCIENCE, C

Title

Crna

Phone

(318) 212-7000

Specialties & licenses 1

Addresses

Tax ID family

Willis Knighton Anesthesia Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Willis Knighton Medical Center Inc. Crna Group

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1174546097
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295821775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CHURCHILL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115558",
            "telephone_number": "318-741-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033908",
            "telephone_number": "318-212-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS KNIGHTON MEDICAL CENTER INC. CRNA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "318-212-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTER OF SCIENCE, C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Lloyd Williford, NURSE PRACTITIONER
• Willis Knighton Health System
• Willis Knighton Health System
• Willis Knighton Medical Center Inc.
• Willis Knighton Medical Center Inc. Crna Group
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.

• General Acute Care Hospital in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.