Organization Active NPI

WK Surgical Consultants

  • Surgery Physician
  • Shreveport, LA
National Provider Identifier
1336580430
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WK SURGICAL CONSULTANTS
Practice address
8001 Youree Dr Ste 970
Shreveport, LA 71115-2356
Phone
(318) 212-2846
Fax
(318) 212-2845
NPI assigned
Jul 17, 2013
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8001 Youree Dr Ste 970
Shreveport, LA 71115-2356

Mailing address

8001 Youree Dr Ste 970
Shreveport, LA 71115-2356
Phone (318) 212-8946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130920000347 LA Part B Supplier - Clinic/Group Practice 4587808134 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Member of 1

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

Locations

8001 Youree Dr
Ste 840
Shreveport, LA 71115
Phone (318) 795-9100

Practitioners & affiliated clinicians

Practitioners 3

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": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1336580430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 970",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152356",
            "telephone_number": "318-212-8946",
            "fax_number": "318-212-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 970",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152356",
            "telephone_number": "318-212-2846",
            "fax_number": "318-212-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK SURGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "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": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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 Apr 20, 2023; 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.