| Wk Hyperbaric & Wound Care Center | |
|
2530 Bert Kouns Loop Suite 138 Shreveport LA 71118-3132 | |
| (318) 212-4210 | |
| (318) 212-4203 |
| Full Name | Wk Hyperbaric & Wound Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2530 Bert Kouns Loop, 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 |
|---|---|
| Wk Hyperbaric & Wound Care Center 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-4210 | Wk Hyperbaric & Wound Care Center 2530 Bert Kouns Loop Suite 138 Shreveport LA 71118-3132 Ph: (318) 212-4210 |
| NPI Number | 1417100264 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 4183787799 |
|---|---|
| Medicare Enrollment ID | O20090108000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417100264 | NPI | - | NPPES |
| 1377562 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victoria L Everton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952339038 PECOS PAC ID: 6406812452 Enrollment ID: I20060511000039 |
| Provider Name | Steven Kitchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144431933 PECOS PAC ID: 2365514387 Enrollment ID: I20080709000198 |
| Provider Name | Kirk A Grantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023241403 PECOS PAC ID: 3870759236 Enrollment ID: I20120730000631 |
| Provider Name | Amy H Norcross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807723 PECOS PAC ID: 9436465317 Enrollment ID: I20150909001027 |
| Provider Name | David Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063831352 PECOS PAC ID: 3870891146 Enrollment ID: I20170907002880 |
| Provider Name | Kristen Dickerson Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003863 PECOS PAC ID: 4981010709 Enrollment ID: I20210302003195 |
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 |