WK Pierremont Hospitalists

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

WK PIERREMONT HOSPITALISTS

Practice address

8001 Youree Dr
Suite 4007
Shreveport, LA 71115-2302

Phone

(318) 212-3821

Fax

(318) 212-3825

NPI assigned

Jun 25, 2006

Last updated

Jan 7, 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 1

Addresses

Other identifiers 1

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.

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

  Member Of

  NPD member

Locations

Practitioners 89

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.

• Martin Brigham, MD

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1982348439

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Pooja Jaisawal

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1356923338
  Medicare reassignment Care Compare group NPD
• Diane Elizabeth Jamison-Blair, MD

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1396712063
  Medicare reassignment Care Compare group NPD
• Kamlesh Jani, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1356370688
  Medicare reassignment Care Compare group NPD
• Tejaswi Kalva, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1487222766
  Medicare reassignment Care Compare group NPD
• Wen Liu, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1336328202
  Medicare reassignment Care Compare group NPD
• Deborah K Luckie, DO

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1114109279
  Medicare reassignment Care Compare group NPD
• Maria Victoria Luraguiz, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1760979231

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pouya Mafi, M.D.

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1790212256
  Medicare reassignment Care Compare group NPD
• Prakash V Manapragada, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1578671772
  Medicare reassignment Care Compare group NPD
• Jennifer E Mosby, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1740060656
  Medicare reassignment Care Compare group NPD
• Jason D Nelson, M.D.

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1700097235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1326074832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 4007",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3821",
            "fax_number": "318-212-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 4007",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3821",
            "fax_number": "318-212-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK PIERREMONT HOSPITALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-01-07",
        "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": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK Pierremont Cardiology
• WK Pierremont Endocrine Center
• WK Pierremont ENT
• WK Pierremont Eye Institute
• WK Pierremont Family Physicians
• WK Pierremont Internal Medicine Associates
• WK Pierremont Neurology Clinic
• WK Pierremont OB-GYN Specialists
• WK Pierremont Pediatrics
• WK Pierremont Psychiatry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.