WK Bossier Hyperbaric and Wound Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WK BOSSIER HYPERBARIC AND WOUND CARE CENTER

Practice address

2300 Hospital Dr
Suite 130
Bossier City, LA 71111-2394

Phone

(318) 212-7080

Fax

(318) 212-7082

NPI assigned

Nov 2, 2013

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

Administrator

Phone

(318) 212-8780

Specialties & licenses 1

Addresses

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.

• Kristen Dickerson Burns, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1962003863

  LA

  Medicare reassignment Care Compare group NPD
• Steven B. Kitchings, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1144431933

  LA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1508295338",
    "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": "318-212-7080",
            "fax_number": "318-212-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112394",
            "telephone_number": "318-212-7080",
            "fax_number": "318-212-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK BOSSIER HYPERBARIC AND WOUND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-8780"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Arklatex Urology and Prostate Cancer Institute
• WK Behavioral Health Medical Center
• WK Behavorial Health Med Center
• WK Bossier ENT & Allergy Institute
• WK Bossier Hospitalists
• WK Bossier Internal Medicine
• WK Bossier OB GYN Specialists
• WK Bossier OB-GYN
• WK Bossier Orthopedic & Sports
• WK Bossier Pediatric Partners

• Family Medicine Physician in Bossier City, LA
• Providers in Bossier City, 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 Nov 4, 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.