WK Mid South Orthopedics

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WK MID SOUTH ORTHOPEDICS

Practice address

7925 Youree Dr
Suite 220
Shreveport, LA 71105-5127

Phone

(318) 424-3400

Fax

(318) 798-9562

NPI assigned

Aug 8, 2007

Last updated

Jun 8, 2012By 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

Greg Gavin

Title

Network Administrator

Phone

(318) 212-4232

Specialties & licenses 1

Addresses

Other identifiers 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

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1700077294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR",
            "address_2": "SUITE 220",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055127",
            "telephone_number": "318-424-3400",
            "fax_number": "318-798-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR",
            "address_2": "SUITE 220",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055127",
            "telephone_number": "318-424-3400",
            "fax_number": "318-798-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK MID SOUTH ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-4232"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015130",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK Heart and Vascular Institute CHF Clinic
• WK Hematology Oncology Associates
• WK Hyperbaric & Wound Care Center
• WK Internal Medicine Specialists
• WK Kinnebrew and Johnson Clinic
• WK Minimally Invasive Surgery Center
• WK Moller Cassiere Clinic
• WK Neurology Consultants
• WK Neurosurgical Associates
• WK Neurovascular Neurosurgery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.