WK Womens Health Associates
Organization Active NPI Obstetrics & Gynecology Physician · Bossier City, LA
NPI 1790790467 · NPPES record last updated Jun 8, 2012
Key facts
- NPI
- 1790790467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- WK WOMENS HEALTH ASSOCIATES
- Practice address
- 2400 Hospital Dr
Suite 240
Bossier City, LA 71111-2385 - Phone
- (318) 742-5800
- Fax
- (318) 741-3902
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Greg J. Gavin
- Title
- Network Administrator
- Phone
- (318) 212-8780
Member of 1
Practitioners 12
-
Rodney Allen Armand, M.D.
-
John Richard Carter, M.D.
-
Lauren Kate Ford, APRN, WHNP-BC
-
Emily Gay Womack, M.D.
-
Timothy Mark Hart, M.D.
-
Gary Menefee, M.D.
-
Mark L Eldore, M.D.
-
Bradley Carnell Sams, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061113000050 | LA | Part B Supplier - Clinic/Group Practice | 2668470345 |
Receives reassigned benefits from 7 practitioners Practice locations: Bossier City, LA |
National Provider Directory
Locations
2400 Hospital Dr
Ste 240
Bossier City, LA 71111
Phone (318) 742-1795
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
2400 Hospital Dr
Suite 240
Bossier City, LA 71111-2385
Mailing address
2400 Hospital Dr
Suite 240
Bossier City, LA 71111-2385
Phone (318) 742-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1448966 | Medicaid | LA |
Other providers in Bossier City, LA
- WK Premier Pediatrics
- WK Red River Internal Medicine
- WK Spine & Pain Specialists
- WK Swan Lake Diabetes & Endocrinology
- WK Urgent Care Center - Bossier
- WK Zaffater Eye Center
- WKB Family Medicine Associates
- Joshua Wolf
- Emily Gay Womack
- Women of Diversity Inc
All providers in Bossier City, LA · Obstetrics & Gynecology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.