WK Minimally Invasive Surgery Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WK MINIMALLY INVASIVE SURGERY CENTER

Practice address

2751 Albert L Bicknell Dr Ste 3a
Shreveport, LA 71103-3976

Phone

(318) 212-8299

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 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

Mary Jane Ward

Title

Senior VP Finance

Phone

(318) 212-8299

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

Locations

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1619588019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033976",
            "telephone_number": "318-212-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033976",
            "telephone_number": "318-212-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK MINIMALLY INVASIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "318-212-8299"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Hematology Oncology Associates
• WK Hyperbaric & Wound Care Center
• WK Internal Medicine Specialists
• WK Kinnebrew and Johnson Clinic
• WK Mid South Orthopedics
• WK Moller Cassiere Clinic
• WK Neurology Consultants
• WK Neurosurgical Associates
• WK Neurovascular Neurosurgery
• WK North Dermatology Clinic

• Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.