| Gi Specialists Hospitalists At Wkmc | |
|
1202 Louisiana Ave Shreveport LA 71101-3910 | |
| (318) 212-8946 | |
| (318) 212-4153 |
| Full Name | Gi Specialists Hospitalists At Wkmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1202 Louisiana Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Specialists Hospitalists At Wkmc 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-8946 | Gi Specialists Hospitalists At Wkmc 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-8946 |
| NPI Number | 1255676870 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 12/07/2012 |
| Medicare PECOS PAC ID | 6002060001 |
|---|---|
| Medicare Enrollment ID | O20130128000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255676870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James C Hobley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336114917 PECOS PAC ID: 7113939240 Enrollment ID: I20060608000006 |
| Provider Name | Sathya Jaganmohan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922202597 PECOS PAC ID: 6406901420 Enrollment ID: I20100720000453 |
| Provider Name | Arthur L Poch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831187301 PECOS PAC ID: 5294747044 Enrollment ID: I20100825000260 |
| Provider Name | Lawrence W Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619968641 PECOS PAC ID: 1658383401 Enrollment ID: I20100826001269 |
| Provider Name | David Miller Philips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326038530 PECOS PAC ID: 6103838958 Enrollment ID: I20100826001272 |
| Provider Name | Douglas Edward Rimmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386634590 PECOS PAC ID: 9830101682 Enrollment ID: I20100831000899 |
| Provider Name | John Mark Provenza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225028434 PECOS PAC ID: 7810972353 Enrollment ID: I20100831000906 |
| Provider Name | Humberto Isidro Aguilar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366432577 PECOS PAC ID: 2567474315 Enrollment ID: I20100903000071 |
| Provider Name | David Frank Dies |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205826419 PECOS PAC ID: 8921010778 Enrollment ID: I20100903000324 |
| Provider Name | John A Kirkikis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700869724 PECOS PAC ID: 0840218004 Enrollment ID: I20101108000976 |
| Provider Name | John Nelken Bienvenu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821265281 PECOS PAC ID: 0840478541 Enrollment ID: I20110628000803 |
| Provider Name | Alberto O Fernandez Bravo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619991148 PECOS PAC ID: 3577461482 Enrollment ID: I20190913001113 |
| Provider Name | Catherine Downs Linzay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619364247 PECOS PAC ID: 5193023588 Enrollment ID: I20210526000621 |
| Provider Name | Nicolas Timothy Labarre |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881007540 PECOS PAC ID: 6507088457 Enrollment ID: I20210609001757 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |