WK Northwest Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WK NORTHWEST INTERNAL MEDICINE

Doing business as

Willis Knighton Internal Medicine Pierremont Suite 550

Practice address

8001 Youree Dr Ste 550
Shreveport, LA 71115-2332

Phone

(318) 212-2984

Fax

(318) 212-3404

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Jared Thomas Beville

Title

VP WK Physician Network

Phone

(318) 719-4950

Specialties & licenses 1

Addresses

Other names 1

• Willis Knighton Internal Medicine Pierremont Suite 550 Doing business as

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.

  dba WK Extended Care Center

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1144267451

  Member Of

  NPD member

Practitioners 5

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

• Wen Liu, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1336328202
  Medicare reassignment Care Compare group NPD
• Courtney Durbin Rich, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1942041694
  Medicare reassignment Care Compare group NPD
• Shannon Presley Francis, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1710355037
  NPD (past)
• Elizabeth C Harrel, MD

  • Urology Physician
  • Bossier City, LA
  • NPI 1326257304
  NPD (past)
• Phillip Rozeman, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1699740035
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1891009437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-212-2984",
            "fax_number": "318-212-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-212-2984",
            "fax_number": "318-212-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK NORTHWEST INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "BEVILLE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VP WK PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "318-719-4950"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis Knighton Internal Medicine Pierremont Suite 550",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• WK North Laparoscopic Surgical Associates
• WK North Laparoscopic Surgical Associates
• WK North Orthopedic Clinic
• WK North Pulmonary & Critical Care
• WK North Shreveport Family Medicine
• WK Northwest Louisiana Infectious Disease Consultants
• WK NW Louisiana Infectious Disease Consultants
• WK OB-GYN Associates of Shreveport
• WK OB-GYN Concepts
• WK Oral and Maxillofacial Surgery Institute

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.