WK Hyperbaric & Wound Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WK HYPERBARIC & WOUND CARE CENTER

Practice address

2530 Bert Kouns Loop
Suite 138
Shreveport, LA 71118-3132

Phone

(318) 212-4210

Fax

(318) 212-4203

NPI assigned

Oct 24, 2008

Last updated

Jun 8, 2012By 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

Practitioners 4

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.

• Kristen Dickerson Burns, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1962003863
  Medicare reassignment Care Compare group NPD
• Victoria L Everton, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Shreveport, LA
  • NPI 1952339038

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Phillip Rozeman, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1699740035
  NPD (past)
• Michael Joseph Torma, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Shreveport, LA
  • NPI 1841233608
  NPD (past)

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1417100264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-4210",
            "fax_number": "318-212-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS LOOP",
            "address_2": "SUITE 138",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183132",
            "telephone_number": "318-212-4210",
            "fax_number": "318-212-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK HYPERBARIC & WOUND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2012-06-08",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1377562",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK Gastroenterology Associates
• WK General Surgery Pierremont
• WK Gynecologic Oncology Clinic
• WK Heart and Vascular Institute CHF Clinic
• WK Hematology Oncology Associates
• WK Internal Medicine Specialists
• WK Kinnebrew and Johnson Clinic
• WK Mid South Orthopedics
• WK Minimally Invasive Surgery Center
• WK Moller Cassiere Clinic

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, 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 Jun 8, 2012; 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.