WK PEDIATRIC INTENSIVIST
NPI 1023074549
Pediatrics - Pediatric Critical Care Medicine in Shreveport, LA

Q: What is Wk Pediatric Intensivist's NPI number?

The NPI number for Wk Pediatric Intensivist is 1023074549. It was assigned to this organization in the NPPES registry on April 24, 2006.

Q: What is Wk Pediatric Intensivist's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since April 24, 2006

2510 BERT KOUN LOOP RM 4003, SHREVEPORT, LA 71118(318) 212-5665(318) 212-5698 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wk Pediatric Intensivist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WK PEDIATRIC INTENSIVIST (NPI 1023074549) is a healthcare organization registered as a pediatric critical care medicine in Shreveport, Louisiana and active in the NPI registry since April 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1023074549

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameWK PEDIATRIC INTENSIVIST

Location Address2510 BERT KOUN LOOP RM 4003Shreveport, LA 71118-3119

Mailing Address2510 Bert Koun Loop Rm 4003Shreveport, LA 71118-3119 · (318) 212-5665 · Fax (318) 212-5698

Phone(318) 212-5665

Fax(318) 212-5698

Organization SubpartNo

Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-3868

Enumeration DateApril 24, 2006

Last NPPES UpdateMay 9, 2018

✔ NPI 1023074549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2510 BERT KOUN LOOP RM 4003, Shreveport, LA 71118

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Other Identifiers 1

Medicaid1099091LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GIAO N DO M.D.

Pediatrics (Pediatric Critical Care Medicine)

2510 BERT KOUN LOOP RM 4003
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wk Pediatric Intensivist's NPI number?

The NPI number for Wk Pediatric Intensivist is 1023074549. It was assigned to this organization in the NPPES registry on April 24, 2006.

Where is Wk Pediatric Intensivist located?

Wk Pediatric Intensivist is located at 2510 Bert Koun Loop Rm 4003, Shreveport, LA 71118. The listed phone number is (318) 212-5665.

What is Wk Pediatric Intensivist's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

What insurance does Wk Pediatric Intensivist accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Pediatric Intensivist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wk Pediatric Intensivist was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.