WKB Family Medicine Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WKB FAMILY MEDICINE ASSOCIATES

Practice address

2449 Hospital Dr
Suite 420
Bossier City, LA 71111-2399

Phone

(318) 212-7839

NPI assigned

Apr 20, 2009

Last updated

Jun 8, 2012By 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) 212-4232

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.

  dba WK Renal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shreveport, LA
  • NPI 1003020579

  Member Of

  NPD member

Locations

Practitioners 26

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.

• Sarah Estess, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1588088827
  Medicare reassignment Care Compare group NPD
• Jason K Milligan, M.D.

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1114138864
  Medicare reassignment Care Compare group NPD
• Clint N. Wilson, M.D.

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1427269059
  Medicare reassignment Care Compare group NPD
• Abigail Davis Bogan, PA-C

  • Medical Physician Assistant
  • Bossier City, LA
  • NPI 1174304042
  Medicare reassignment Care Compare group
• Colleen Hannon Cline, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1568748986
  Medicare reassignment Care Compare group
• Sarah Tucker Allen, P.A.

  • Physician Assistant
  • Bossier City, LA
  • NPI 1295088656
  Medicare reassignment
• Calvin D. Alexander, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Shreveport, LA
  • NPI 1780689224
  NPD (past)
• William S Cantwell, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, LA
  • NPI 1851592075
  NPD (past)
• Steven Allen Conrad, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Shreveport, LA
  • NPI 1124048004
  NPD (past)
• Rebekah H. Hendry, NP

  • Gerontology Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1407520620
  NPD (past)
• Patrice Ware Kingsley, FNP

  • Nurse Practitioner
  • Bossier City, LA
  • NPI 1588126007
  NPD (past)
• Ronald S Lambert, MD

  • Pulmonary Disease Physician
  • Bossier City, LA
  • NPI 1336196393
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1972746097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 420",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 420",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WKB FAMILY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2012-06-08",
        "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": "318-212-4232"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Spine & Pain Specialists
• WK Swan Lake Diabetes & Endocrinology
• WK Urgent Care Center - Bossier
• WK Womens Health Associates
• WK Zaffater Eye Center
• Joshua Wolf
• Emily Gay Womack, M.D.
• Women of Diversity Inc
• Womens Health Specialists of Bossier
• Kristen Wood, PA

• Family Medicine Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.