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WK PELVIC & RECONSTRUCTIVE SURGERY
NPI 1598290249
Urology - Urogynecology and Reconstructive Pelvic Surgery in Shreveport, LA

Active since May 01, 2017CLIA 19D2132745 · Microscopy
8001 YOUREE DR, SUITE 370, SHREVEPORT, LA 71115(318) 212-8780(318) 212-6752 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wk Pelvic & Reconstructive Surgery NPPES

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

WK PELVIC & RECONSTRUCTIVE SURGERY (NPI 1598290249) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Shreveport, Louisiana and active in the NPI registry since May 2017. The organization holds a CLIA Microscopy certificate valid through June 26, 2027 and lists Greg J Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1598290249
Entity TypeOrganization
Primary Taxonomy2088F0040X
Legal Business NameWK PELVIC & RECONSTRUCTIVE SURGERY
Location Address8001 YOUREE DR, SUITE 370Shreveport, LA 71115-2302
Mailing Address8001 Youree Dr, Suite 370Shreveport, LA 71115-2302 · (318) 212-8780 · Fax (318) 212-6752
Phone(318) 212-8780
Fax(318) 212-6752
Organization SubpartNo
Authorized OfficialGreg J GavinNetwork Administrator · (318) 212-8780
Enumeration DateMay 1, 2017
✔ NPI 1598290249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
8001 YOUREE DR, Shreveport, LA 71115
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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

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) 19D2132745

Wk Pelvic & Reconstructive Gyn Surgery · Shreveport, LA
Active · expires Jun 26, 2027
CLIA Number19D2132745
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorAntonio R. Pizarro
Laboratory Phone(318) 212-3680
Laboratory LocationWk Pelvic & Reconstructive Gyn Surgery8001 Youree Drive, Suite 370, Shreveport, LA 71115
CLIA data matches this NPI record on: Address
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.

MAURIE PATTERSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
8001 YOUREE DR, SUITE 400
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3456
WK CENTER FOR NEUROSURGERY AT PIERREMONT
Neurological Surgery
8001 YOUREE DR, SUITE 850
SHREVEPORT, LA 71115
Caddo Parish (318) 424-2623
SHIRLEY A KELLEY CRNA
Nurse Anesthetist, Certified Registered
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3220
SUSAN MICHELLE SELF MD
Family Medicine
8001 YOUREE DR, SUITE 540
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3810
ALLYSON DELAUNE NP
Nurse Practitioner (Acute Care)
8001 YOUREE DR, SUITE 880
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3821
MR. CALEB PHILLIPS CRNA
Nurse Anesthetist, Certified Registered
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3000
CHRISTINA GREEN PT, DPT
Physical Therapist
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3700
ROBERT C HERNANDEZ MD
Internal Medicine
8001 YOUREE DR, SUITE 450
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3952

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 Pelvic & Reconstructive Surgery's NPI number?

The NPI number for Wk Pelvic & Reconstructive Surgery is 1598290249. It was assigned to this organization in the NPPES registry on May 1, 2017.

Where is Wk Pelvic & Reconstructive Surgery located?

Wk Pelvic & Reconstructive Surgery is located at 8001 Youree Dr Suite 370, Shreveport, LA 71115. The listed phone number is (318) 212-8780.

What is Wk Pelvic & Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Does Wk Pelvic & Reconstructive Surgery hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D2132745) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Pelvic & Reconstructive Surgery 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 Pelvic & Reconstructive Surgery 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 Pelvic & Reconstructive Surgery was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.