Active NPI
WK Ctr for Womens Health and Wellness
- Gynecology Physician
- Shreveport, LA
National Provider Identifier
1619214434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- WK CTR FOR WOMENS HEALTH AND WELLNESS
- Practice address
- 8001 Youree Dr
Suite 320
Shreveport, LA 71115-2302 - Phone
- (318) 212-2870
- Fax
- (318) 212-2875
- NPI assigned
- Jan 14, 2013
- Last updated
- Jan 14, 2013
- Organization subpart
- No
NPPES NPI Registry
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) 212-2870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | NU | Primary |
Addresses
Primary practice location
8001 Youree Dr
Suite 320
Shreveport, LA 71115-2302
Mailing address
8001 Youree Dr
Suite 320
Shreveport, LA 71115-2302
Phone (318) 212-2870
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1104889237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358121600000",
"number": "1619214434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"address_2": "SUITE 320",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-2870",
"fax_number": "318-212-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"address_2": "SUITE 320",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-2870",
"fax_number": "318-212-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WK CTR FOR WOMENS HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"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": "318-212-2870"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- WK Center for Psychiatric Support
- WK Center for Womens Health and Wellness
- WK Child Neurology
- WK Childrens Health Specialists
- WK Community Health Clinic
- WK Digestive Disease Consultants
- WK Doctors for Women
- WK Elite Internal Medicine
- WK Eye Center at Towne Oaks
- WK Family Medicine Partners at Pierremont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.