WK Heart and Vascular Institute CHF Clinic

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WK HEART AND VASCULAR INSTITUTE CHF CLINIC

Practice address

2727 Hearne Ave
Shreveport, LA 71103-3917

Phone

(318) 212-4791

Fax

(318) 212-4307

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By 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

Administrator

Phone

(318) 212-8951

Specialties & licenses 1

Addresses

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 9

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.

• Paul Cole, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1396710737
  NPD (past)
• Amanda Eades

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1285408906
  NPD (past)
• William Eaves II, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1801861240
  NPD (past)
• Brinton J Fegley, NP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1790759462
  NPD (past)
• Basel Kasabali, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1417921123
  NPD (past)
• Kristen McCoy Keener, AG-ACNP

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1417479262
  NPD (past)
• Amita Patel, NP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1467112094
  NPD (past)
• Karen M Payne, NP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1972753358
  NPD (past)
• Frederick J White, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1821062548
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1972043511",
    "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": "318-212-4791",
            "fax_number": "318-212-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HEARNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033917",
            "telephone_number": "318-212-4791",
            "fax_number": "318-212-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK HEART AND VASCULAR INSTITUTE CHF CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-8951"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Family Medicine Partners at Pierremont
• WK Frederick and Braud Clinic
• WK Gastroenterology Associates
• WK General Surgery Pierremont
• WK Gynecologic Oncology Clinic
• WK Hematology Oncology Associates
• WK Hyperbaric & Wound Care Center
• WK Internal Medicine Specialists
• WK Kinnebrew and Johnson Clinic
• WK Mid South Orthopedics

• Cardiovascular Disease Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.