WK Bossier ENT & Allergy Institute

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

WK BOSSIER ENT & ALLERGY INSTITUTE

Practice address

2449 Hospital Dr Ste 280
Bossier City, LA 71111-1900

Phone

(318) 212-7288

Fax

(318) 212-7295

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jane Ward

Title

Authorized Official

Phone

(318) 716-4939

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.

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1144267451

  Member Of

  NPD member

Locations

Practitioners 4

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

• John Hayden Holtzclaw, AU.D.

  • Audiologist
  • Bossier City, LA
  • NPI 1679069819
  Medicare reassignment Care Compare group NPD
• John P Lavo, MD

  • Otolaryngology Physician
  • Bossier City, LA
  • NPI 1851787071
  Medicare reassignment Care Compare group NPD
• Kevin A. Moore, MD

  • Otolaryngology Physician
  • Bossier City, LA
  • NPI 1932595154

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Samantha Teer, MSN, FNP-C

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1124679865
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1851918486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 280",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111900",
            "telephone_number": "318-212-7288",
            "fax_number": "318-212-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 280",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111900",
            "telephone_number": "318-212-7288",
            "fax_number": "318-212-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK BOSSIER ENT & ALLERGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "318-716-4939",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK and Bone & Joint Clinic - Bossier
• WK and the Asthma-Allergy Clinic
• WK Arklatex Urology and Prostate Cancer Institute
• WK Behavioral Health Medical Center
• WK Behavorial Health Med Center
• WK Bossier Hospitalists
• WK Bossier Hyperbaric and Wound Care Center
• WK Bossier Internal Medicine
• WK Bossier OB GYN Specialists
• WK Bossier OB-GYN

• Otolaryngology Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.