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WK TRISTATE NEUROLOGY CLINIC
NPI 1700165891
Psychiatry & Neurology - Neurology in Shreveport, LA

Active since August 08, 2011
2551 GREENWOOD RD, SUITE 240, SHREVEPORT, LA 71103(318) 212-8675(318) 212-8680 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wk Tristate Neurology Clinic NPPES

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

WK TRISTATE NEUROLOGY CLINIC (NPI 1700165891) is a healthcare organization registered as a neurology in Shreveport, Louisiana and active in the NPI registry since August 2011. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1700165891
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameWILLIS-KNIGHTON MEDICAL CENTER, INC
Location Address2551 GREENWOOD RD, SUITE 240Shreveport, LA 71103-3981
Mailing Address2551 Greenwood Rd, Suite 240Shreveport, LA 71103-3981 · (318) 212-8675 · Fax (318) 212-8680
Phone(318) 212-8675
Fax(318) 212-8680
Organization SubpartYesParent: Willis-knighton Medical Center, Inc.
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateAugust 8, 2011
Last NPPES UpdateNovember 23, 2011
✔ NPI 1700165891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2551 GREENWOOD RD, Shreveport, LA 71103
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Other Names 1

Doing Business AsWk Tristate Neurology Clinic

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

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 Willis-Knighton Medical Center, Inc's NPI number?

The NPI number for Willis-Knighton Medical Center, Inc is 1700165891. It was assigned to this organization in the NPPES registry on August 8, 2011. The provider is doing business as Wk Tristate Neurology Clinic.

Where is Willis-Knighton Medical Center, Inc located?

Willis-Knighton Medical Center, Inc is located at 2551 Greenwood Rd Suite 240, Shreveport, LA 71103. The listed phone number is (318) 212-8675.

What is Willis-Knighton Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Willis-Knighton Medical Center, Inc was last updated on November 23, 2011. 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.