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WK SIGNATURE UROLOGY CLINIC
NPI 1225093610
Urology in Shreveport, LA

Active since April 19, 2006CLIA 19D1053522 · Microscopy
2551 GREENWOOD RD, SUITE 140, SHREVEPORT, LA 71103(318) 212-8899(318) 212-8806 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Wk Signature Urology Clinic NPPES

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

WK SIGNATURE UROLOGY CLINIC (NPI 1225093610) is a healthcare organization registered as an urology in Shreveport, Louisiana and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through December 13, 2027 and lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1225093610
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameWK SIGNATURE UROLOGY CLINIC
Location Address2551 GREENWOOD RD, SUITE 140Shreveport, LA 71103-3981
Mailing Address2551 Greenwood Rd, Suite 140Shreveport, LA 71103-3981 · (318) 212-8899 · Fax (318) 212-8806
Phone(318) 212-8899
Fax(318) 212-8806
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4571
Enumeration DateApril 19, 2006
Last NPPES UpdateJune 8, 2012
✔ NPI 1225093610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2551 GREENWOOD RD, Shreveport, LA 71103
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Other Identifiers 2

Medicaid1335223LA
Medicare PIN5CV08LA

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D1053522

Wk Signature Urology · Shreveport, LA
Active · expires Dec 13, 2027
CLIA Number19D1053522
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorThomas F. Siskron, IV, MD
Laboratory Phone(318) 212-8899
Laboratory LocationWk Signature Urology2551 Greenwood Road Suite 140, Shreveport, LA 71103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

ANDREW DENTINO MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
2551 GREENWOOD RD, SUITE 310
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8780
RAYMOND A. COGHLAN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine (Infectious Disease)
2551 GREENWOOD RD, SUITE 150
SHREVEPORT, LA 71103
Caddo Parish (318) 631-9996
CALEB HARKINS APRN, AGACNP
Nurse Practitioner (Acute Care)
2551 GREENWOOD RD, SUITE #210
SHREVEPORT, LA 71103
Caddo Parish (318) 635-0834
VIJOYDEEP RAO MD & WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
2551 GREENWOOD RD, SUITE 310
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8780
JAMES G. HOWELL MD AND WILLIS-KNIGHTON MEDICAL CENTER
Surgery
2551 GREENWOOD RD, SUITE 310
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8780
PIERRE VALMONT BLANCHARD MD
Internal Medicine
2551 GREENWOOD RD, SUITE 410
SHREVEPORT, LA 71103
Caddo Parish (318) 621-2929
AMBROSIA T. HOLSAPPLE NP
Nurse Practitioner
2551 GREENWOOD RD, SUITE 410
SHREVEPORT, LA 71103
Caddo Parish (318) 621-2929
MR. CLAY JONES R.PH
Pharmacist
2551 GREENWOOD RD, SUITE 110
SHREVEPORT, LA 71103
Caddo Parish (318) 631-2005

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 Signature Urology Clinic's NPI number?

The NPI number for Wk Signature Urology Clinic is 1225093610. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Wk Signature Urology Clinic located?

Wk Signature Urology Clinic is located at 2551 Greenwood Rd Suite 140, Shreveport, LA 71103. The listed phone number is (318) 212-8899.

What is Wk Signature Urology Clinic's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Wk Signature Urology Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D1053522) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Signature Urology Clinic 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 Signature Urology Clinic 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 Signature Urology Clinic was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.