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

DONALD G MACK SR MD AND WILLIS-KNIGHTON MEDICAL CENTER
NPI 1801962204
Pediatrics in Shreveport, LA

Active since November 28, 2006
1799 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105(318) 797-9000(318) 797-9250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald G Mack Sr Md And Willis-knighton Medical Center NPPES

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

DONALD G MACK SR MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI 1801962204) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since November 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1801962204
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDONALD G MACK SR MD AND WILLIS-KNIGHTON MEDICAL CENTER
Location Address1799 E BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71105-5561
Mailing Address1799 E Bert Kouns Industrial LoopShreveport, LA 71105-5561 · (318) 797-9000 · Fax (318) 797-9250
Phone(318) 797-9000
Fax(318) 797-9250
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1801962204 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.
1799 E BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71105
Open in Google Maps ↗

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
Pediatrics
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 797-9000
DONALD GENE MACK JR. MD
Pediatrics
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
Caddo Parish (318) 797-9000

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 Donald G Mack Sr MD And Willis-Knighton Medical Center's NPI number?

The NPI number for Donald G Mack Sr MD And Willis-Knighton Medical Center is 1801962204. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Donald G Mack Sr MD And Willis-Knighton Medical Center located?

Donald G Mack Sr MD And Willis-Knighton Medical Center is located at 1799 E Bert Kouns Industrial Loop, Shreveport, LA 71105. The listed phone number is (318) 797-9000.

What is Donald G Mack Sr MD And Willis-Knighton Medical Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Donald G Mack Sr MD And Willis-Knighton Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.