Organization Active NPI

WK Regional Perinatal Group

  • Maternal & Fetal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1871728956
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
WK REGIONAL PERINATAL GROUP
Practice address
2508 Bert Kouns Industrial Loop
Suite 210
Shreveport, LA 71118-3133
Phone
(318) 212-5860
Fax
(318) 212-5865
NPI assigned
May 19, 2009
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Mary Jane Ward
Title
Sr VP Finance
Phone
(318) 716-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Primary

Addresses

Primary practice location

2508 Bert Kouns Industrial Loop
Suite 210
Shreveport, LA 71118-3133

Mailing address

2508 Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71118-3175
Phone (318) 212-5860

Other practice location 1

5301 Cowhorn Creek Rd
Texarkana, TX 75503-9751
Phone (318) 212-5860

Other identifiers 1

IdentifierTypeStateIssuer
2115804MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090714000015 LA Part B Supplier - Clinic/Group Practice 8527110162 Receives reassigned benefits from 2 practitioners
Practice locations: Shreveport, LA
O20260401001762 TX Part B Supplier - Clinic/Group Practice 8527110162 Receives reassigned benefits from 2 practitioners
Practice locations: Texarkana, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2508 Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71118
Phone (318) 212-5860

2510 Bert Kouns Industrial Loop
Ste 236
Shreveport, LA 71118

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1871728956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183175",
            "telephone_number": "318-212-5860",
            "fax_number": "318-212-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-212-5860",
            "fax_number": "318-212-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Cowhorn Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755039751",
            "country_code": "US",
            "telephone_number": "318-212-5860",
            "fax_number": "318-212-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WK REGIONAL PERINATAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "318-716-4939"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115804",
            "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 Mar 6, 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.