John Moissidis MD and Willis-Knighton Medical Center

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

JOHN MOISSIDIS MD AND WILLIS-KNIGHTON MEDICAL CENTER

Practice address

2551 Greenwood Rd
Suite 310
Shreveport, LA 71103-3981

Phone

(318) 212-8780

Fax

(318) 212-8181

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By 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) 212-4571

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Peter Bryan Boggs, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Bossier City, LA
  • NPI 1447217252
  NPD (past)
• Ioannis A. Moissidis, MD

  • Allergy & Immunology Physician
  • Shreveport, LA
  • NPI 1053308742
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417966888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 310",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-212-8780",
            "fax_number": "318-212-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 310",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-212-8780",
            "fax_number": "318-212-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MOISSIDIS MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "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": "318-212-4571"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell I Jobe, DDS
• Joedread Enterprises, LLC (Joedread Enterprises, LLC Transport Services)
• Jessica Joffrion
• Chase Johansen
• John H Wagner,III,MD,LLC
• John S Kilpatrick MD a Professional Medical Corporation
• Joseph Mullasseril John, D.O,
• Chantanell Johns
• Rachel Elizabeth Johns, MOT/L
• Johnson Behavioral Health Group

• Allergy & Immunology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Allergy & Immunology Physician 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.