Wk Center for Pediatric Gastroenterology · Pediatric Gastroenterology Physician

Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118

Overview

Wk Center for Pediatric Gastroenterology is a Pediatric Gastroenterology Physician (organization) practicing in Shreveport, Louisiana. The National Provider Identifier (NPI) is #1720620784, which was assigned on October 11, 2019, and the registration record was last updated on October 11, 2019. The practitioner's main practice location is at Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118; the contact telephone number is 3182125811, and the fax number is 3182125844. The primary taxonomy of Wk Center for Pediatric Gastroenterology is Pediatric Gastroenterology Physician (2080P0206X), with specialization in Pediatric Gastroenterology. The authorized official for Wk Center for Pediatric Gastroenterology is Mary Jane Ward (Senior Vp Finance).

A pediatrician who 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.

Provider Information

NPI 1720620784
Entity Type Organization
Organization Name WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
Provider Name WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
Practice Address Wk Center for Pediatric Gastroenterology
2530 Bert Kouns Industrial Loop, Ste 113
Shreveport
LA 71118
Practice Telephone 3182125811
Practice Fax Number 3182125844
Mailing Address Wk Center for Pediatric Gastroenterology
2530 Bert Kouns Industrial Loop, Ste 113
Shreveport
LA 71118
Mailing Telephone 3182125811
Mailing Fax Number 3182125844
Enumeration Date 2019-10-11
Last Update Date 2019-10-11
Is Organization Subpart N

Authorized Official Information

Official Name MARY JANE WARD
Official Title SENIOR VP FINANCE
Telephone 3182128951

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2080P0206XPediatricsPediatric Gastroenterology193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 2080P0206X
Taxonomy Pediatric Gastroenterology Physician
Classification Pediatrics
Specialization Pediatric Gastroenterology
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician who 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Joseph Chavis 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125Pediatric Gastroenterology Physician2026-05-04
Steven Altschuler 285 Madison Ave Fl 20, New York, NY 10017-6422Pediatric Gastroenterology Physician2026-05-02
Stephanie Wai Sahn Hum 3401 Civic Center Blvd, Division of Pediatric Gastroenterology, Phildadelphia, PA 19104Pediatric Gastroenterology Physician2020-03-24
Vania Shariff 2220 N Druid Hills Rd Ne, Atlanta, GA 30329-3117Pediatric Gastroenterology Physician2026-03-14

Location Information

Street Address WK CENTER FOR PEDIATRIC GASTROENTEROLOGY
2530 BERT KOUNS INDUSTRIAL LOOP, STE 113
City SHREVEPORT
State LA
Zip Code 71118
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Shilon Wilson 9817 Hadrians Way, Shreveport, LA 71118Mental Health Counselor2015-11-13
Oliver Wayne Patterson Jr. 1713 South Reunion Drve, Shreveport, LA 71118Other Technician2025-01-22
Lotts of Love Transportation LLC 9543 Leaside Way, Shreveport, LA 71118Non-emergency Medical Transport (VAN)2021-12-06
Diamond Marie Willis 9403 Mansfield Rd., Shreveport, LA 71118Case Manager/Care Coordinator2019-02-13
Yasmin Newman 9812 West Trails End, Shreveport, LA 71118Mental Health Counselor2016-10-27
Darrie'L Smith 2715 Mackey, Shreveport, LA 71118Mental Health Counselor2017-05-12
Mario Hanna 2715 Mackey Place, Suite 135, Shreveport, LA 71118Mental Health Counselor2016-11-28
Pamela Carter 22045 Bert Kouns Int Loop Apt 249, Shreveport, LA 71118Home Health Aide2022-05-26
N-Motion Logistics LLC 9401 Royalton Dr, Shreveport, LA 71118Non-emergency Medical Transport (VAN)2021-10-21
Tovoras Lee 2715 Macke Place, 135, Shreveport, LA 71118Counselor2016-09-01
Find all providers in the same zip code

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Connected Pediatric Therapies LLC 600 Rood Ave Ste 201, Grand Junction, CO 81501-2761Physical Therapist2026-04-22
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Center for Advanced Pediatric Speech Therapy, Inc. 1449 Sw 10th St, Fort Lauderdale, FL 33312Speech-Language Pathologist2026-05-20
Advanced Southern Gastroenterology PLLC 535 Gordon St, Corpus Christi, TX 78404-2535Gastroenterology Physician2026-03-31
Harford Gastroenterology Associates Pa 8100 Sandpiper Cir Ste 100, Nottingham, MD 21236-5028Gastroenterology Physician2026-05-18
New Era Pediatric Therapy LLC 2427 W Interstate Highway 2, Mission, TX 78572-7022Counseling Psychologist2026-04-28
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.