GLADDEN WILLIAMS WILLIS M.D.
NPI 1700804960
Pathology - Anatomic Pathology & Clinical Pathology in Shreveport, LA
NPI Status: Active since July 17, 2006
Contact Information
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-7737
Fax: (318) 675-5666
- Individual
- Male
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
About GLADDEN WILLIS
This page provides the complete NPI Profile along with additional information for Gladden Willis, a provider established in Shreveport, Louisiana with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1700804960 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 009738 (LA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1700804960
- Provider Name
- GLADDEN WILLIAMS WILLIS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103
- Location Phone
- (318) 675-7737
- Location Fax
- (318) 675-5666
- Mailing Address
- 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103
- Mailing Phone
- (318) 675-7737
- Mailing Fax
- (318) 675-5666
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-17-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 009738
- License State
- LA
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Community Blue 80/60 $3200 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B61650 | MEDICARE UPIN (02) | LA | |
| 1164691 | MEDICAID (05) | LA | |
| 4J762F600 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 0 | 4 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 0 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 0 + 8 + 9 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1700804960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KIMBERLY E MEYER PA-C
Physician Assistant
1501 KINGS HWY
DEPT. OF NEUROSURGERY
SHREVEPORT, LA
ZIP 71103
MARY T KIM M.D.
Surgery
(Plastic and Reconstructive Surgery)
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
DR. EZEKIEL J WETZEL M.D.
Anesthesiology
1501 KINGS HWY
DEPARTMENT OF ANESTHESIA
SHREVEPORT, LA
ZIP 71103
MR. AARON DEAN CHAUVIN PAC
Physician Assistant
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Surgery
1501 KINGS HWY
LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA
ZIP 71103
PHILIP DONALD ISHERWOOD M.D.
Family Medicine
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
DR. WENDALL A WILSON M.D.
Internal Medicine
1501 KINGS HWY
DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION
SHREVEPORT, LA
ZIP 71103
MS. NANCY K BUSHNELL-HARPER MA, LPC
Counselor
1501 KINGS HWY
LSUHSC-S DEPARMTENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103
MICHAEL LORING MADDEN M.D.
Family Medicine
1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103
LARRY JOHATHAN EMBREE JR. M.D.
Psychiatry & Neurology
(Neurology)
1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103
ALIREZA MINAGAR M.D.
Psychiatry & Neurology
(Neurology)
1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103
ROSARIO MARIA RIEL-ROMERO M.D.
Psychiatry & Neurology
(Neurology with Special Qualifications in Child Neurology)
1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103
DR. LAUREN MOONAN YOREK M.D.
Emergency Medicine
1501 KINGS HWY
DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA
ZIP 71103
FREDERICK DEAN HEARD M.D.
Family Medicine
1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103
EDWARD HOPKINS LEATHERMAN M.D.
Psychiatry & Neurology
(Psychiatry)
1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103
GRACE C TENORIO M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
DEEPTI SHUKLA MBBS
Pathology
(Anatomic Pathology)
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
PATRICK A ADEGBOYEGA M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
RONALD GILBERT NIERMAN LPC
Counselor
(Professional)
1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103
DR. OLUGBENGA A AKINGBOLA M.D.
Pediatrics
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS
SHREVEPORT, LA
ZIP 71103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700804960, enumerated as an "individual" on July 17, 2006.
The provider is located at 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103 and the phone number is (318) 675-7737.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: HMO Louisiana, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
