ROBERT NICKELSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
NPI 1871521427
Internal Medicine - Hematology & Oncology in Shreveport, LA

Active since June 30, 2006
2600 KINGS HWY, SUITE 340, SHREVEPORT, LA 71103(318) 212-8620(318) 212-8625 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Nickelson Md And Willis-knighton Medical Center NPPES

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

ROBERT NICKELSON MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI 1871521427) is a healthcare organization registered as a hematology & oncology in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1871521427
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameROBERT NICKELSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Location Address2600 KINGS HWY, SUITE 340Shreveport, LA 71103-3950
Mailing Address2600 Kings Hwy, Suite 340Shreveport, LA 71103-3950 · (318) 212-8620 · Fax (318) 212-8625
Fax(318) 212-8625
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-8620
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1871521427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2600 KINGS HWY, Shreveport, LA 71103

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.

Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Physician Assistant (Medical)
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER
SHREVEPORT, LA 71103
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103

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 Robert Nickelson MD And Willis-Knighton Medical Center's NPI number?

The NPI number for Robert Nickelson MD And Willis-Knighton Medical Center is 1871521427. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Robert Nickelson MD And Willis-Knighton Medical Center located?

Robert Nickelson MD And Willis-Knighton Medical Center is located at 2600 Kings Hwy Suite 340, Shreveport, LA 71103. The listed phone number is (318) 212-8620.

What is Robert Nickelson MD And Willis-Knighton Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Robert Nickelson MD And Willis-Knighton Medical Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.