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WK BOSSIER RIVER CITIES INTERVENTIONAL PAIN SPECIALISTS
NPI 1528393907
Anesthesiology - Pain Medicine in Bossier City, LA

Active since October 02, 2009CLIA 19D2002718 · Accreditation
2449 HOSPITAL DR, SUITE 300, BOSSIER CITY, LA 71111(318) 212-7960(318) 212-7965 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wk Bossier River Cities Interventional Pain Specialists NPPES

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

WK BOSSIER RIVER CITIES INTERVENTIONAL PAIN SPECIALISTS (NPI 1528393907) is a healthcare organization registered as a pain medicine in Bossier City, Louisiana and active in the NPI registry since October 2009. The organization holds an CLIA Accreditation certificate valid through March 16, 2027 and lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1528393907
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameWK BOSSIER RIVER CITIES INTERVENTIONAL PAIN SPECIALISTS
Location Address2449 HOSPITAL DR, SUITE 300Bossier City, LA 71111-2399
Mailing Address2449 Hospital Dr, Suite 300Bossier City, LA 71111-2399 · (318) 212-7960 · Fax (318) 212-7965
Phone(318) 212-7960
Fax(318) 212-7965
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateOctober 2, 2009
Last NPPES UpdateJune 8, 2012
✔ NPI 1528393907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2449 HOSPITAL DR, Bossier City, LA 71111
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Other Identifiers 2

Medicaid1803537LA
Medicare PIN5DK70LA

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

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 of Accreditation 19D2002718

Wk Bossier River Cities Interventional Pain Specialists · Bossier City, LA
Active · expires Mar 16, 2027
CLIA Number19D2002718
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorStacey A. Flippo
Laboratory Phone(318) 212-7960
Laboratory LocationWk Bossier River Cities Interventional Pain Specialists2449 Hospital Drive, Suite 300, Bossier City, LA 71111
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

WK ENDOCRINE SPECIALISTS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2449 HOSPITAL DR, SUITE 400
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7902
JASON K MILLIGAN M.D.
Family Medicine
2449 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7839
WK AND BONE & JOINT CLINIC - BOSSIER
Orthopaedic Surgery
2449 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 425-8701
ANDREW JAMES MORITZ MD
Orthopaedic Surgery
2449 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 425-8701
MARY MELISSA ALBRITTON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2449 HOSPITAL DR, SUITE 400
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7902
VICKEY M BURNETT NP
Nurse Practitioner (Family)
2449 HOSPITAL DR, SUITE 400
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7902
WK BOSSIER OB-GYN
Obstetrics & Gynecology
2449 HOSPITAL DR, SUITE 260
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7840
DR. WILLIAM STEWART BUNDRICK JR. M.D.
Urology
2449 HOSPITAL DR, SUITE 280
BOSSIER CITY, LA 71111
Bossier Parish (318) 841-4004

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 Bossier River Cities Interventional Pain Specialists's NPI number?

The NPI number for Wk Bossier River Cities Interventional Pain Specialists is 1528393907. It was assigned to this organization in the NPPES registry on October 2, 2009.

Where is Wk Bossier River Cities Interventional Pain Specialists located?

Wk Bossier River Cities Interventional Pain Specialists is located at 2449 Hospital Dr Suite 300, Bossier City, LA 71111. The listed phone number is (318) 212-7960.

What is Wk Bossier River Cities Interventional Pain Specialists's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Wk Bossier River Cities Interventional Pain Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 19D2002718) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wk Bossier River Cities Interventional Pain Specialists 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.