WK PORTICO PEDIATRICS
NPI 1083940191
Pediatrics in Shreveport, LA

Q: What is Wk Portico Pediatrics's NPI number?

The NPI number for Wk Portico Pediatrics is 1083940191. It was assigned to this organization in the NPPES registry on October 23, 2009.

Q: What is Wk Portico Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 23, 2009

7847 YOUREE DR, SHREVEPORT, LA 71105(318) 212-3930(318) 212-3935 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wk Portico Pediatrics NPPES

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

WK PORTICO PEDIATRICS (NPI 1083940191) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since October 2009. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1083940191

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWK PORTICO PEDIATRICS

Location Address7847 YOUREE DRShreveport, LA 71105-5505

Mailing Address7847 Youree DrShreveport, LA 71105-5505 · (318) 212-3930 · Fax (318) 212-3935

Phone(318) 212-3930

Fax(318) 212-3935

Organization SubpartNo

Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232

Enumeration DateOctober 23, 2009

✔ NPI 1083940191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7847 YOUREE DR, Shreveport, LA 71105

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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

Other Providers at the Same Location NPPES 15

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

MS. SHANNON COLLEEN MCCOLE AUD

Audiologist