WK Allergy Asthma & Immunology Center

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

WK ALLERGY ASTHMA & IMMUNOLOGY CENTER

Practice address

2530 Bert Kouns Industrial Loop Ste 112
Shreveport, LA 71118-3153

Phone

(318) 212-8780

Fax

(318) 212-5994

NPI assigned

May 1, 2017

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

Senior VP of Finance

Phone

(318) 716-4937

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 3

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

• Caroline Virginia Caperton, M.D., M.S.P.H.

  • Allergy & Immunology Physician
  • Shreveport, LA
  • NPI 1861791592
  Medicare reassignment Care Compare group NPD
• Priyal Upadhyay, MD

  • Allergy & Immunology Physician
  • Shreveport, LA
  • NPI 1053874313
  Medicare reassignment Care Compare group NPD
• Langley Sampognaro, MD

  • Allergy & Immunology Physician
  • Shreveport, LA
  • NPI 1265001598
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1922533637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS INDUSTRIAL LOOP STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183153",
            "telephone_number": "318-212-8780",
            "fax_number": "318-212-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS INDUSTRIAL LOOP STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183153",
            "telephone_number": "318-212-8780",
            "fax_number": "318-212-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK ALLERGY ASTHMA & IMMUNOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP OF FINANCE",
        "authorized_official_telephone_number": "318-716-4937"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Academic Medicine Clinic
• WK Adult Medicine Specialists
• WK Advanced Cardiac Imaging
• WK Advanced Laparoscopic and Robotic Surgery Specialists
• WK Advanced Surgery Center
• WK Ark-la-Tex Neonatology
• WK Behavioral Health Services
• WK Breast Health & Surgical Center
• WK Care for Kids Clinic
• WK Center for Endocrinology and Diabetes

• Allergy & Immunology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Allergy & Immunology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.