Wk Pediatric Gi Specialists

Pediatric Gastroenterology

Wk Pediatric Gi Specialists is a Shreveport, Louisiana based Pediatric center with medical specialization in Pediatric Gastroenterology. It is located at 2508 Bert Kouns Industrial Loop, Suite 101, Shreveport, Louisiana - 71118-3133. They can be contacted on phone at 318-212-5858 and fax number 318-212-5877.
NPI number (Unique professional ID) for Wk Pediatric Gi Specialists is 1336470574 which was assigned by NPPES on 28 Jan, 2010 and it was last updated on 21 Jul, 2021.
Wk Pediatric Gi Specialists specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Wk Pediatric Gi Specialists basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Gastroenterology
Provider Name :Wk Pediatric Gi Specialists
Business Address:
Wk Pediatric Gi Specialists address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :2508 Bert Kouns Industrial Loop, Suite 101
Shreveport, LA, 71118-3133
United States
Phone Number :318-212-5858
Fax Number :318-212-5877
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1336470574
NPI Entity Type : Organization
First Enrolment Date : 28 Jan, 2010
Last Updated On : 21 Jul, 2021
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Gregj. Gavin
Official Title or Position :NETWORK ADMINISTRATOR
Phone Number :318-424-4232
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wk Pediatric Gi Specialists are as mentioned. Primary taxonomy code for Wk Pediatric Gi Specialists is 2080P0206X (Pediatrics Pediatric Gastroenterology).
Taxonomy Code SpecialityPrimaryLicense No.State
207T00000XNeurological SurgeryNo
2080P0206XPediatrics Pediatric GastroenterologyYes
Legacy Identifiers:
Other legacy medical identifiers of Wk Pediatric Gi Specialists such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
2204943MEDICAIDTX
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
CONNECT
(CONNECT URL)
https://www.mettles.com/

2.16.840.1.113883.3.6037.1
No affiliationOTHER
Other
CMS esMD eMDR


10320 LITTLE PATUXENT PKWY STE 233-02,
COLUMBIA, MD, 21044-3313
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :2508 Bert Kouns Industrial Loop, Suite 101
Shreveport, LA, 71118-3133
United States
Phone Number :318-212-5858
Fax Number :318-212-5877
Business Location:
Patients can refer following map for directions to Wk Pediatric Gi Specialists practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.