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WK NORTH PULMONARY & CRITICAL CARE NPI 1265529648


NPI Information

NPI: 1265529648
Provider Name: WK NORTH PULMONARY & CRITICAL CARE
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
2551 GREENWOOD RD
SUITE 210
SHREVEPORT, LA
ZIP 71103
Phone: (318) 212-8946
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WK NORTH PULMONARY & CRITICAL CARE is a critical care medicine internal medicine in Shreveport, LA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. WK NORTH PULMONARY & CRITICAL CARE NPI is 1265529648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2551 GREENWOOD RD
SUITE 210
SHREVEPORT, LA
ZIP 71103-981
Phone: (318) 212-8946
Fax: (318) 212-4153

The provider's authorized official is Greg J. Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-4232.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 6/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207RC0200XInternal MedicineCritical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CV91MEDICARE PINLOUISIANA
21099252MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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