Active NPI
A Michael Aura MD and Willis-Knighton Medical Center
- Internal Medicine Physician
- Shreveport, LA
National Provider Identifier
1689619116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- A MICHAEL AURA MD AND WILLIS-KNIGHTON MEDICAL CENTER
- Practice address
- 8001 Youree Dr
Suite 550
Shreveport, LA 71115-2302 - Phone
- (318) 212-3740
- Fax
- (318) 212-3745
- NPI assigned
- Jun 18, 2006
- Last updated
- Nov 15, 2007
- 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) 212-3740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
8001 Youree Dr
Suite 550
Shreveport, LA 71115-2302
Mailing address
PO Box 3038
Shreveport, LA 71133-3038
Phone (318) 212-8340
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.
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1699740035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1689619116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3038",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711333038",
"telephone_number": "318-212-8340",
"fax_number": "318-212-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"address_2": "SUITE 550",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-3740",
"fax_number": "318-212-3745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A MICHAEL AURA MD AND WILLIS-KNIGHTON MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2007-11-15",
"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": "318-212-3740"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.