NPIMap

Organization Active NPI

Aderonke Akingbola MD and Willis-Knighton Medical Center

  • Gastroenterology Physician
  • Shreveport, LA
National Provider Identifier
1316982853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ADERONKE AKINGBOLA MD AND WILLIS-KNIGHTON MEDICAL CENTER
Practice address
2514 Bert Kouns Loop
Suite 1
Shreveport, LA 71118-3146
Phone
(318) 212-5806
Fax
(318) 212-5810
NPI assigned
Jun 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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) 212-5806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

2514 Bert Kouns Loop
Suite 1
Shreveport, LA 71118-3146

Mailing address

2514 Bert Kouns Loop
Suite 1
Shreveport, LA 71118-3146
Phone (318) 212-5806

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2514 Bert Kouns Ind Loop
Ste 1
Shreveport, LA 71118
Phone (318) 212-5806

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316982853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 BERT KOUNS LOOP",
            "address_2": "SUITE 1",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183146",
            "telephone_number": "318-212-5806",
            "fax_number": "318-212-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 BERT KOUNS LOOP",
            "address_2": "SUITE 1",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183146",
            "telephone_number": "318-212-5806",
            "fax_number": "318-212-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADERONKE AKINGBOLA MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "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": "318-212-5806"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • 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.