WK Neurology Consultants

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

WK NEUROLOGY CONSULTANTS

Practice address

1202 Louisiana Ave
Shreveport, LA 71101-3910

Phone

(318) 212-6745

Fax

(318) 212-4153

NPI assigned

Aug 26, 2016

Last updated

Sep 1, 2016By 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 J Gavin

Title

Network Administrator

Phone

(318) 212-8780

Specialties & licenses 1

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.

  dba Home Health Departmant Willis Knighton Hospital Inc

  • Home Health Agency
  • Shreveport, LA
  • NPI 1326093782

  Member Of

  NPD member

Locations

Practitioners 7

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.

• Julia Obehi Aigbogun, MD

  • Neurology Physician
  • Shreveport, LA
  • NPI 1326608035
  Medicare reassignment Care Compare group NPD
• Arpitha Komaragiri, MD

  • Clinical Neurophysiology Physician
  • Shreveport, LA
  • NPI 1073975439
  Medicare reassignment Care Compare group NPD
• Ernest Alan Little, MD

  • Neurology Physician
  • Shreveport, LA
  • NPI 1780779199
  Medicare reassignment Care Compare group NPD
• Asim Naveed, MD

  • Neurology Physician
  • Shreveport, LA
  • NPI 1598290959
  Medicare reassignment Care Compare group NPD
• Muhammad Suhaib Qasim, M.B.B.S.

  • Neurology Physician
  • Shreveport, LA
  • NPI 1871090936
  Medicare reassignment Care Compare group NPD
• Isma Enid Velez-Fernandez, M.D.

  • Neurology Physician
  • Winston Salem, NC
  • NPI 1649429531

  LA

  Medicare reassignment Care Compare group NPD
• Chaitanya Amrutkar, M.D.

  • Neurology Physician
  • Shreveport, LA
  • NPI 1629451638
  Medicare reassignment NPD

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1760938278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-6745",
            "fax_number": "318-212-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-6745",
            "fax_number": "318-212-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK NEUROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-09-01",
        "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": "318-212-8780"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Internal Medicine Specialists
• WK Kinnebrew and Johnson Clinic
• WK Mid South Orthopedics
• WK Minimally Invasive Surgery Center
• WK Moller Cassiere Clinic
• WK Neurosurgical Associates
• WK Neurovascular Neurosurgery
• WK North Dermatology Clinic
• WK North Gynecology Clinic
• WK North Hospitalists Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.