J Scott Bicknell MD and Willis-Knighton Medical Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

J SCOTT BICKNELL MD AND WILLIS-KNIGHTON MEDICAL CENTER

Practice address

7925 Youree Dr
Suite 200
Shreveport, LA 71105-5538

Phone

(318) 798-6700

Fax

(318) 798-6799

NPI assigned

Jun 24, 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) 798-6700

Specialties & licenses 1

Addresses

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.

• Joseph Michael Angelo, PA

  • Medical Physician Assistant
  • Shreveport, LA
  • NPI 1992831895
  NPD (past)
• Dana Dosher Degravelle, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1235159526
  NPD (past)
• Shiva Doty, PA-C

  • Medical Physician Assistant
  • Shreveport, LA
  • NPI 1912933110
  NPD (past)
• Sherry B Walker, PA

  • Surgical Physician Assistant
  • Shreveport, LA
  • NPI 1669442133
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548296155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055538",
            "telephone_number": "318-798-6700",
            "fax_number": "318-798-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055538",
            "telephone_number": "318-798-6700",
            "fax_number": "318-798-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SCOTT BICKNELL MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "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": "318-798-6700"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonjia Fields Ivy
• J & J Impact Counseling, LLC
• J and L A1 Transportation LLC
• J Houston Bosley,M.D. a Medical Corporation
• J J Burgin MD LLC
• J Woodfin Wilson MD & Willis-Knighton Medical Center
• J. Gary Booker, MD, Apmc
• J&R Transport LLC
• Keshia Ashley Jabbar, LPC
• Jack Berg MD & Willis-Knighton Medical Center

• Orthopaedic Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Orthopaedic Surgery 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.