WK NW Louisiana Infectious Disease Consultants

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

WK NW LOUISIANA INFECTIOUS DISEASE CONSULTANTS

Practice address

2551 Greenwood Rd
Suite 150
Shreveport, LA 71103-3981

Phone

(318) 212-6888

Fax

(318) 212-6890

NPI assigned

Oct 30, 2012

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) 212-8780

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.

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1144267451

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Halim Salim Abou-Faycal, MD

  • Infectious Disease Physician
  • Shreveport, LA
  • NPI 1942241708
  Medicare reassignment Care Compare group NPD
• Jihad Michel El-Hayek, M.D.

  • Infectious Disease Physician
  • Shreveport, LA
  • NPI 1538354451
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1508110552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-212-6888",
            "fax_number": "318-212-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD",
            "address_2": "SUITE 150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-212-6888",
            "fax_number": "318-212-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK NW LOUISIANA INFECTIOUS DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2013-08-27",
        "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": "318-212-8780"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "268368",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK North Orthopedic Clinic
• WK North Pulmonary & Critical Care
• WK North Shreveport Family Medicine
• WK Northwest Internal Medicine
• WK Northwest Louisiana Infectious Disease Consultants
• WK OB-GYN Associates of Shreveport
• WK OB-GYN Concepts
• WK Oral and Maxillofacial Surgery Institute
• WK Orthopedic Clinic
• WK Orthopedic Specialty Center

• Infectious Disease Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Infectious Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.