Willis Knighton Medical Center, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WILLIS KNIGHTON MEDICAL CENTER, INC.

Practice address

2600 Greenwood Rd
Shreveport, LA 71103-3908

Phone

(318) 212-4000

NPI assigned

Feb 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Scott Cook

Title

Accountant

Phone

(318) 212-4544

Specialties & licenses 2

Addresses

Other names 1

• WK Outpatient Lab Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Willis Knighton South H19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

• Willis Knighton Health System

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1629193057
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shreveport, LA
  • NPI 1003020579
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1144267451
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • Home Health Agency
  • Shreveport, LA
  • NPI 1326093782
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • Corporate Health Clinic/Center
  • Shreveport, LA
  • NPI 1326821877
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • Community Based Hospice Care Agency
  • Shreveport, LA
  • NPI 1487693149
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Shreveport, LA
  • NPI 1710039896
  NPD tax ID
• Willis Knighton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Shreveport, LA
  • NPI 1912059932
  NPD tax ID
• Willis-Knighton Medical Center, Inc.

  • Obstetrics & Gynecology Physician
  • Bossier City, LA
  • NPI 1215129507
  NPD tax ID

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1730645201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711302600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033908",
            "telephone_number": "318-212-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS KNIGHTON MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "318-212-4544"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WK Outpatient Lab Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WK Outpatient Lab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc.
• Willis Knighton Medical Center, Inc. WK Emergency Dept Group
• Willis Knighton Work Kare
• Willis-Knighton Medical Center & Johnston Johnny MD
• Willis-Knighton Medical Center Michelle Self MD

• Clinical Medical Laboratory in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.