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WK RED RIVER INTERNAL MEDICINE
NPI 1992023998
Internal Medicine in Bossier City, LA

Active since May 14, 2010CLIA 19D1072269 · Waiver
2300 HOSPITAL DR, SUITE 320, BOSSIER CITY, LA 71111(318) 212-7848(318) 212-7855 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wk Red River Internal Medicine NPPES

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

WK RED RIVER INTERNAL MEDICINE (NPI 1992023998) is a healthcare organization registered as an internal medicine in Bossier City, Louisiana and active in the NPI registry since May 2010. 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

NPI1992023998
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWK RED RIVER INTERNAL MEDICINE
Location Address2300 HOSPITAL DR, SUITE 320Bossier City, LA 71111-2394
Mailing Address2300 Hospital Dr, Suite 320Bossier City, LA 71111-2394 · (318) 212-7848 · Fax (318) 212-7855
Phone(318) 212-7848
Fax(318) 212-7855
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4132
Enumeration DateMay 14, 2010
Last NPPES UpdateJune 11, 2012
✔ NPI 1992023998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2300 HOSPITAL DR, Bossier City, LA 71111
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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 19D1072269

Wk Red River Internal Medicine · Bossier City, LA
Active · expires Aug 12, 2027
CLIA Number19D1072269
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorLeslie Sewell, MD
Laboratory Phone(318) 212-7848
Laboratory LocationWk Red River Internal Medicine2300 Hospital Drive Suite 320, Bossier City, LA 71111
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.

ALLEN L. COX MD
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
ALLEN COX MD AND WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
ZAFFATER EYE CENTER, LLC
Ophthalmology
2300 HOSPITAL DR, SUITE 300
BOSSIER CITY, LA 71111
Bossier Parish (318) 747-5838
DANIEL L. PAYNE MD
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
LESLIE JEAN SEWELL MD
Internal Medicine
2300 HOSPITAL DR, SUITE 320
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7848
CORTNEY L YOUNG FNP
Nurse Practitioner (Family)
2300 HOSPITAL DR, SUITE 330
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7848
SANJAY KUMAR SHAH MD & WILLIS-KNIGHTON MEDICAL CENTER INC.
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830
TOM RODSUWAN MD AND WILLIS KNIGHTON MEDICAL CENTER
Family Medicine
2300 HOSPITAL DR, SUITE 200
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7830

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 Red River Internal Medicine's NPI number?

The NPI number for Wk Red River Internal Medicine is 1992023998. It was assigned to this organization in the NPPES registry on May 14, 2010.

Where is Wk Red River Internal Medicine located?

Wk Red River Internal Medicine is located at 2300 Hospital Dr Suite 320, Bossier City, LA 71111. The listed phone number is (318) 212-7848.

What is Wk Red River Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wk Red River Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1072269) 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 Red River Internal Medicine 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 Red River Internal Medicine 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 Red River Internal Medicine was last updated on June 11, 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.