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WK PELVIC & RECONSTRUCTIVE SURGERY NPI 1598290249


NPI Information

NPI: 1598290249
Provider Name: WK PELVIC & RECONSTRUCTIVE SURGERY
Classification: Urology - 2088F0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

CLIA Number: 19D2132745

Address:
8001 YOUREE DR
SUITE 370
SHREVEPORT, LA
ZIP 71115
Phone: (318) 212-8780
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WK PELVIC & RECONSTRUCTIVE SURGERY is a female pelvic medicine and reconstructive surgery urology in Shreveport, LA. The provider is a urologist subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. WK PELVIC & RECONSTRUCTIVE SURGERY NPI is 1598290249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8001 YOUREE DR
SUITE 370
SHREVEPORT, LA
ZIP 71115-302
Phone: (318) 212-8780
Fax: (318) 212-6752

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-8780.

The CLIA number assigned to this NPI record is 19D2132745 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/1/2017 and was last updated on 5/1/2017.


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
12088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryYes

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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