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WK GYNECOLOGIC ONCOLOGY CLINIC
NPI 1740493923
Obstetrics & Gynecology - Gynecologic Oncology in Shreveport, LA

Active since May 07, 2007CLIA 19D1072267 · Waiver
2600 KINGS HWY, SUITE 420, SHREVEPORT, LA 71103(318) 212-8727(318) 212-8771 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wk Gynecologic Oncology Clinic NPPES

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

WK GYNECOLOGIC ONCOLOGY CLINIC (NPI 1740493923) is a healthcare organization registered as a gynecologic oncology in Shreveport, Louisiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1740493923
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameWK GYNECOLOGIC ONCOLOGY CLINIC
Location Address2600 KINGS HWY, SUITE 420Shreveport, LA 71103-3950
Mailing Address2600 Kings Hwy, Suite 420Shreveport, LA 71103-3950 · (318) 212-8727 · Fax (318) 212-8771
Phone(318) 212-8727
Fax(318) 212-8771
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 8, 2012
✔ NPI 1740493923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2600 KINGS HWY, Shreveport, LA 71103
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Other Identifiers 2

Medicaid1021601LA
Medicare PIN5CY13LA

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 19D1072267

Wk Gynecologic Oncology Clinic · Shreveport, LA
Active · expires Aug 12, 2027
CLIA Number19D1072267
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorDestin Black, MD
Laboratory Phone(318) 212-8727
Laboratory LocationWk Gynecologic Oncology Clinic2600 Kings Highway, Suite 420, Shreveport, LA 71103
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.

ROBERT A. NICKELSON M.D.
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
HEIDI E WIMBERLY PA-C
Physician Assistant (Medical)
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
DANIELLA PHUONG-DI DANG M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
JOYCE E FEAGIN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
ANIL VELUVOLU MD
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
DR. SANFORD RORY KATZ M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
DR. MICHAEL LEONARD DURCI M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
JOYCE ELIZABETH FEAGIN MD
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620

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 Gynecologic Oncology Clinic's NPI number?

The NPI number for Wk Gynecologic Oncology Clinic is 1740493923. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Wk Gynecologic Oncology Clinic located?

Wk Gynecologic Oncology Clinic is located at 2600 Kings Hwy Suite 420, Shreveport, LA 71103. The listed phone number is (318) 212-8727.

What is Wk Gynecologic Oncology Clinic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Does Wk Gynecologic Oncology Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1072267) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Gynecologic Oncology Clinic 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 Gynecologic Oncology Clinic 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 Gynecologic Oncology Clinic was last updated on June 8, 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.