WK Robotic and Laparoscopic Surgery Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC

Practice address

2551 Greenwood Rd Ste 311
Shreveport, LA 71103-3981

Phone

(318) 212-6270

Fax

(318) 212-6074

NPI assigned

Oct 22, 2013

Last updated

May 5, 2022By 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.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Member Of

  NPD member

Locations

Practitioners 6

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.

• Kamel Brakta, MD

  • Surgery Physician
  • Shreveport, LA
  • NPI 1104087634
  Medicare reassignment Care Compare group NPD
• Nicole Michelle Toups

  • Surgical Physician Assistant
  • Shreveport, LA
  • NPI 1285290098
  Medicare reassignment Care Compare group
• Sabrina Jenks, PA-C

  • Physician Assistant
  • Greenville, SC
  • NPI 1700540150

  LA

  Medicare reassignment Care Compare group
• Catrina Lewis, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1548019516
  Medicare reassignment NPD
• Phillip Rozeman, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1699740035
  NPD (past)
• Savanna Dawn Eaves, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1477333128
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1831527266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD STE 311",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-212-6270",
            "fax_number": "318-212-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD STE 311",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033981",
            "telephone_number": "318-212-6270",
            "fax_number": "318-212-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Red River Cardiovascular Surgeons
• WK Regional Perinatal Group
• WK Regional Transplant Center
• WK Rheumatology Pierremont
• WK River Cities Interventional Pain
• WK Shreveport Behavioral Wellness Center
• WK Shreveport Breast Center
• WK Shreveport Center for Geriatric Health
• WK Shreveport Infectious Disease
• WK Shreveport Internal Medicine

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.