Organization Active NPI

Wee Care Pediatrics, LLC

  • Pediatrics Physician
  • Shreveport, LA
National Provider Identifier
1750803631
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
204975 Issued in LA
Legal business name
WEE CARE PEDIATRICS, LLC
Practice address
2709 Mackey LN
Shreveport, LA 71118-2556
Phone
(318) 505-7626
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Authorized official

Name
Dr. Hester Suh, MDNPI 1407042435
Title
Pediatrician
Phone
(347) 528-4078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 204975 LA Primary

Addresses

Primary practice location

2709 Mackey LN
Shreveport, LA 71118-2556

Mailing address

11160 Magnolia GLN
Shreveport, LA 71106-8371
Phone (347) 528-4078

Other identifiers 1

IdentifierTypeStateIssuer
2175581MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170915000139 LA Part B Supplier - Clinic/Group Practice 4082988068 Receives reassigned benefits from 6 practitioners
Practice locations: Shreveport, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2134482Wee Care Pediatrics2709 Mackey Lane, Shreveport, LA 71118Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1750803631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 MAGNOLIA GLN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068371",
            "telephone_number": "347-528-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MACKEY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182556",
            "telephone_number": "318-505-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEE CARE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "HESTER",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "347-528-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "204975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2175581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.