WK Radiation Oncology Services

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

WK RADIATION ONCOLOGY SERVICES

Practice address

2600 Kings Hwy
Shreveport, LA 71103-3950

Phone

(318) 212-4639

Fax

(318) 212-8305

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By 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

Practitioners 4

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.

• Michael Leonard Durci, M.D.

  • Radiation Oncology Physician
  • Shreveport, LA
  • NPI 1265439863
  Medicare reassignment Care Compare group NPD
• Sanford Rory Katz, M.D.

  • Radiation Oncology Physician
  • Shreveport, LA
  • NPI 1215943642
  Medicare reassignment Care Compare group NPD
• Lane Randall Rosen, M.D.

  • Radiation Oncology Physician
  • Shreveport, LA
  • NPI 1831119197
  Medicare reassignment Care Compare group NPD
• Chiachien Jake Wang, MD

  • Radiation Oncology Physician
  • Shreveport, LA
  • NPI 1457615395
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1922478304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-8977",
            "fax_number": "318-212-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033950",
            "telephone_number": "318-212-4639",
            "fax_number": "318-212-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK RADIATION ONCOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "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": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Pierremont Womens Clinic
• WK Pines Road Family Medicine
• WK Pinnacle Gastroenterology
• WK Portico Pediatrics
• WK Psychology Specialty Center
• WK Red River Cardiovascular Surgeons
• WK Regional Perinatal Group
• WK Regional Transplant Center
• WK Rheumatology Pierremont
• WK River Cities Interventional Pain

• Radiation Oncology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Radiation Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.