WK ADVANCED SURGERY CENTER
NPI 1609110634
Surgery in Shreveport, LA

Q: What is Wk Advanced Surgery Center's NPI number?

The NPI number for Wk Advanced Surgery Center is 1609110634. It was assigned to this organization in the NPPES registry on November 15, 2012.

Q: What is Wk Advanced Surgery Center's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 15, 2012

2751 ALBERT L BICKNELL DR, SUITE 2-B, SHREVEPORT, LA 71103(318) 212-8350(318) 212-8356 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Wk Advanced Surgery Center NPPES

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

WK ADVANCED SURGERY CENTER (NPI 1609110634) is a healthcare organization registered as a surgery in Shreveport, Louisiana and active in the NPI registry since November 2012. The organization lists Mary Jane Ward, Sr Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1609110634

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWK ADVANCED SURGERY CENTER

Location Address2751 ALBERT L BICKNELL DR, SUITE 2-BShreveport, LA 71103-3920

Mailing Address2751 Albert L Bicknell Dr, Suite 2-bShreveport, LA 71103-3920 · (318) 212-8350 · Fax (318) 212-8356

Phone(318) 212-8350

Fax(318) 212-8356

Organization SubpartNo

Authorized OfficialMary Jane WardSr Vp Of Finance · (318) 716-4939

Enumeration DateNovember 15, 2012

Last NPPES UpdateJuly 21, 2021

NPPES CertifiedJuly 21, 2021

✔ NPI 1609110634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2751 ALBERT L BICKNELL DR, Shreveport, LA 71103

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Advanced Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wk Advanced Surgery Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Donnie Aultman, M.D.

General Surgery

NPI 1477573301

2751 ALBERT BICKNELL DR STE 4A
Shreveport, LA 71103

(318) 212-4275