WK Academic Medicine Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WK ACADEMIC MEDICINE CLINIC

Practice address

2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939

Phone

(318) 212-4232

Fax

(318) 212-4257

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Mathew Wheeler

Title

Revenue Contract Manager

Phone

(318) 716-4939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

Practitioners 6

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

• Erin Clements

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1053769380
  Medicare reassignment Care Compare group NPD
• Heidi Elaine Henson

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1760977573
  Medicare reassignment Care Compare group NPD
• Catherine J Speights, MD

  • Family Medicine Physician
  • Franklinton, LA
  • NPI 1942241450
  Medicare reassignment Care Compare group NPD
• Eric Dwayne Thomas, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1164683231
  Medicare reassignment Care Compare group NPD
• Savita Sachin Thorat, M. D.

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1659503761
  Medicare reassignment Care Compare group NPD
• Karen Strait Walker, MD

  • Family Medicine Physician
  • Oil City, LA
  • NPI 1588701288
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1992375844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 2D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033939",
            "telephone_number": "318-212-4232",
            "fax_number": "318-212-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 2D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033939",
            "telephone_number": "318-212-4232",
            "fax_number": "318-212-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK ACADEMIC MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "REVENUE CONTRACT MANAGER",
        "authorized_official_telephone_number": "318-716-4939"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan S. Wisenbaker
• Connor Wisniewski-Top, PT, DPT
• Shila Withers
• Witte Family Dentistry, LLC
• Savanna Taelor Witthoeft
• WK Adult Medicine Specialists
• WK Advanced Cardiac Imaging
• WK Advanced Laparoscopic and Robotic Surgery Specialists
• WK Advanced Surgery Center
• WK Allergy Asthma & Immunology Center

• 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 Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.