1. Home
  2. Directory
  3. Louisiana
  4. Bossier City
  5. Pediatrics
  6. NPI Profile

WK BOSSIER PEDIATRIC PARTNERS
NPI 1649595950
Pediatrics in Bossier City, LA

Active since March 30, 2010CLIA 19D0985473 · Waiver
2300 HOSPITAL DR, SUITE 120, BOSSIER CITY, LA 71111(318) 212-7883(318) 212-7885 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wk Bossier Pediatric Partners NPPES

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

WK BOSSIER PEDIATRIC PARTNERS (NPI 1649595950) is a healthcare organization registered as a pediatrics in Bossier City, Louisiana and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Greg J Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1649595950
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWK BOSSIER PEDIATRIC PARTNERS
Location Address2300 HOSPITAL DR, SUITE 120Bossier City, LA 71111-2394
Mailing Address2300 Hospital Dr, Suite 120Bossier City, LA 71111-2394 · (318) 212-7883 · Fax (318) 212-7885
Phone(318) 212-7883
Fax(318) 212-7885
Organization SubpartNo
Authorized OfficialGreg J GavinNetwork Administrator · (318) 212-4232
Enumeration DateMarch 30, 2010
Last NPPES UpdateJune 12, 2012
✔ NPI 1649595950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2300 HOSPITAL DR, Bossier City, LA 71111
Open in Google Maps ↗

Other Identifiers 1

Medicaid2102583LA

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 of Waiver 19D0985473

Wk Bossier Pediatric Partners · Bossier City, LA
Active · expires Apr 18, 2027
CLIA Number19D0985473
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorQuynh Dang
Laboratory Phone(318) 212-7883
Laboratory LocationWk Bossier Pediatric Partners2300 Hospital Drive, Suite 340, Bossier City, LA 71111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

ALLEN L. COX MD
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
ALLEN COX MD AND WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
ZAFFATER EYE CENTER, LLC
Ophthalmology
2300 HOSPITAL DR, SUITE 300
BOSSIER CITY, LA 71111
Bossier Parish (318) 747-5838
DANIEL L. PAYNE MD
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
LESLIE JEAN SEWELL MD
Internal Medicine
2300 HOSPITAL DR, SUITE 320
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7848
CORTNEY L YOUNG FNP
Nurse Practitioner (Family)
2300 HOSPITAL DR, SUITE 330
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7848
SANJAY KUMAR SHAH MD & WILLIS-KNIGHTON MEDICAL CENTER INC.
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
TOM RODSUWAN MD AND WILLIS KNIGHTON MEDICAL CENTER
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830

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 Pediatric Partners's NPI number?

The NPI number for Wk Bossier Pediatric Partners is 1649595950. It was assigned to this organization in the NPPES registry on March 30, 2010.

Where is Wk Bossier Pediatric Partners located?

Wk Bossier Pediatric Partners is located at 2300 Hospital Dr Suite 120, Bossier City, LA 71111. The listed phone number is (318) 212-7883.

What is Wk Bossier Pediatric Partners's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Wk Bossier Pediatric Partners hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0985473) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Bossier Pediatric Partners 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 Bossier Pediatric Partners 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 Bossier Pediatric Partners was last updated on June 12, 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.