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WK SHREVEPORT CENTER FOR GERIATRIC HEALTH
NPI 1114256476
Psychiatry & Neurology - Geriatric Psychiatry in Shreveport, LA

Active since December 16, 2009
2508 BERT KOUNS LOOP, SUITE 303, SHREVEPORT, LA 71118(318) 212-5850(318) 212-5855 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wk Shreveport Center For Geriatric Health NPPES

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

WK SHREVEPORT CENTER FOR GERIATRIC HEALTH (NPI 1114256476) is a healthcare organization registered as a geriatric psychiatry in Shreveport, Louisiana and active in the NPI registry since December 2009. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1114256476
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameWK SHREVEPORT CENTER FOR GERIATRIC HEALTH
Location Address2508 BERT KOUNS LOOP, SUITE 303Shreveport, LA 71118-3133
Mailing Address2508 Bert Kouns Loop, Suite 303Shreveport, LA 71118-3133 · (318) 212-5850 · Fax (318) 212-5855
Phone(318) 212-5850
Fax(318) 212-5855
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateDecember 16, 2009
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1114256476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
2508 BERT KOUNS LOOP, Shreveport, LA 71118
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Other Identifiers 2

Medicaid1818798LA
Other5DL73LA · Medicare Ptan

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 20

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

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 671-1291
GAYLON DAIGLE M.D.
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5343
O ALLEN GERMAN MD
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 688-6090
WK WOMENS HEALTH CLINIC
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 201
SHREVEPORT, LA 71118
Caddo Parish (318) 688-8804
DR. CHARLES GODFRIED OTU-NYARKO M.D
Pediatrics (Pediatric Gastroenterology)
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5858
EDDIE D. JOHNSON MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 671-1291
KRISTY L. BRAUD MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 103
SHREVEPORT, LA 71118
Caddo Parish (318) 687-5277
WK PEDIATRIC SURGICAL ASSOCIATES
Surgery (Pediatric Surgery)
2508 BERT KOUNS LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5880

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 Shreveport Center For Geriatric Health's NPI number?

The NPI number for Wk Shreveport Center For Geriatric Health is 1114256476. It was assigned to this organization in the NPPES registry on December 16, 2009.

Where is Wk Shreveport Center For Geriatric Health located?

Wk Shreveport Center For Geriatric Health is located at 2508 Bert Kouns Loop Suite 303, Shreveport, LA 71118. The listed phone number is (318) 212-5850.

What is Wk Shreveport Center For Geriatric Health's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Wk Shreveport Center For Geriatric Health was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.