WK Childrens Health Specialists

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

Legal business name

WK CHILDRENS HEALTH SPECIALISTS

Practice address

2032 Elizabeth Ave
Shreveport, LA 71104-2123

Phone

(318) 698-0035

Fax

(318) 698-0078

NPI assigned

Aug 21, 2019

Last updated

May 6, 2024By 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) 212-8951

Specialties & licenses 2

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.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Member Of

  NPD member

Locations

Practitioners 10

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.

• Hans Andersson, MD

  • Clinical Genetics (M.D.) Physician
  • New Orleans, LA
  • NPI 1801987664
  Medicare reassignment NPD
• Alicia Diane Schollmeyer, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1275800344
  Medicare reassignment NPD
• Ihor V Yosypiv, MD

  • Pediatric Nephrology Physician
  • New Orleans, LA
  • NPI 1528083409
  Medicare reassignment NPD
• Diego H. Aviles, MD

  • Pediatric Nephrology Physician
  • New Orleans, LA
  • NPI 1538182548
  Medicare reassignment
• Joseph Anthony Bocchini Jr., M.D.

  • Pediatric Infectious Diseases Physician
  • Shreveport, LA
  • NPI 1760402630
  Medicare reassignment
• Majed Aldin Jeroudi, M.D.

  • Pediatric Hematology & Oncology Physician
  • Shreveport, LA
  • NPI 1154348050
  Medicare reassignment
• Mary Catherine Aranda, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Shreveport, LA
  • NPI 1245211978
  NPD (past)
• Margaret Crittell, MD

  • Pediatrics Physician
  • Shreveport, LA
  • NPI 1235175696
  NPD (past)
• Monica L Haynes, M.D.

  • Pediatrics Physician
  • Shreveport, LA
  • NPI 1750388492
  NPD (past)
• Sasi Kiran Penukonda, MD

  • Pediatric Endocrinology Physician
  • Shreveport, LA
  • NPI 1811220957
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1689221020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 ELIZABETH AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042123",
            "telephone_number": "318-698-0035",
            "fax_number": "318-698-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 ELIZABETH AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042123",
            "telephone_number": "318-698-0035",
            "fax_number": "318-698-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK CHILDRENS HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "318-212-8951"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Center for Pediatric Gastroenterology
• WK Center for Pediatrics - South
• WK Center for Psychiatric Support
• WK Center for Womens Health and Wellness
• WK Child Neurology
• WK Community Health Clinic
• WK Ctr for Womens Health and Wellness
• WK Digestive Disease Consultants
• WK Doctors for Women
• WK Elite Internal Medicine

• Pediatric Nephrology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatric Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.