WK Arklatex Urology and Prostate Cancer Institute

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

WK ARKLATEX UROLOGY AND PROSTATE CANCER INSTITUTE

Practice address

2449 Hospital Dr Ste 340
Bossier City, LA 71111-1912

Phone

(318) 212-7850

Fax

(318) 212-7858

NPI assigned

Jul 8, 2008

Last updated

Sep 20, 2023By 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

Mary J Ward

Title

Sr. VP Finance

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.

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

  Member Of

  NPD member

Locations

Practitioners 5

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.

• William Stewart Bundrick Jr., M.D.

  • Urology Physician
  • Bossier City, LA
  • NPI 1326087354
  Medicare reassignment Care Compare group NPD
• Shannon Presley Francis, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1710355037
  Medicare reassignment Care Compare group NPD
• Amanda Lynn Herzog, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1588344063
  Medicare reassignment Care Compare group NPD
• Jacquelyn Burge Miller, FNP

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1740170935
  Medicare reassignment Care Compare group NPD
• Sarah K Tucci, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1982989265
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1881857035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 340",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111912",
            "telephone_number": "318-212-7850",
            "fax_number": "318-212-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 340",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111912",
            "telephone_number": "318-212-7850",
            "fax_number": "318-212-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK ARKLATEX UROLOGY AND PROSTATE CANCER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. VP FINANCE",
        "authorized_official_telephone_number": "318-716-4939"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Allen Wiseman, D.C.
• WK Advanced Urology
• WK Allergy and Asthma Clinic
• WK and Bone & Joint Clinic - Bossier
• WK and the Asthma-Allergy Clinic
• WK Behavioral Health Medical Center
• WK Behavorial Health Med Center
• WK Bossier ENT & Allergy Institute
• WK Bossier Hospitalists
• WK Bossier Hyperbaric and Wound Care Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.