Active NPI
WK Northwest Louisiana Infectious Disease Consultants
- Infectious Disease Physician
- Shreveport, LA
National Provider Identifier
1679851893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- WK NORTHWEST 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
- Jul 22, 2011
- Last updated
- Oct 16, 2012
- 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) 424-4232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | NU | Primary |
Addresses
Primary practice location
2551 Greenwood Rd
Suite 150
Shreveport, LA 71103-3981
Mailing address
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8946
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Infectious Disease Physician
- Shreveport, LA
- NPI 1942241708
-
- Surgery Physician
- Shreveport, LA
- NPI 1104087634
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1497296826
-
- Infectious Disease Physician
- Shreveport, LA
- NPI 1538354451
-
- Surgical Physician Assistant
- Shreveport, LA
- NPI 1285290098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1679851893",
"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": "318-212-8946",
"fax_number": "318-212-1153"
},
{
"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 NORTHWEST LOUISIANA INFECTIOUS DISEASE CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-22",
"last_updated": "2012-10-16",
"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": "318-424-4232"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- WK North Laparoscopic Surgical Associates
- WK North Orthopedic Clinic
- WK North Pulmonary & Critical Care
- WK North Shreveport Family Medicine
- WK Northwest Internal Medicine (Willis Knighton Internal Medicine Pierremont Suite 550)
- WK NW Louisiana Infectious Disease Consultants
- WK OB-GYN Associates of Shreveport
- WK OB-GYN Concepts
- WK Oral and Maxillofacial Surgery Institute
- WK Orthopedic Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.