Wk North Orthopedic Clinic in Shreveport - Sports Medicine
Wk North Orthopedic Clinic - NPI 1306823596
Wk North Orthopedic Clinic is a Sports Medicine in Shreveport, Louisiana. Wk North Orthopedic Clinic practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Wk North Orthopedic Clinic is 1306823596. The last update date is 2012-06-08.
Wk North Orthopedic Clinic's current location address is 1202 Louisiana Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182128776 and fax number 3182128774. The mailing address for Wk North Orthopedic Clinic is 1202 Louisiana Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wk North Orthopedic Clinic |
|---|---|
| Address | 1202 Louisiana Ave, Shreveport, Louisiana |
| Phone Number | 3182128776 |
| Fax Number | 3182128774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NETWORK AD |
|---|---|
| Authorized Official Name | Gavin J Greg |
| Telephone Number | 3182124232 |
NPI Number Detail
| NPI Number | 1306823596 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2012-06-08 |
Provider Mailing Address Detail
| Address | 1202 Louisiana Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711013910 |
| Phone Number | 3182128776 |
| Fax Number | 3182128774 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1447838 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wk North Orthopedic Clinic by the Centers for Medicare & Medicaid Services?
The Wk North Orthopedic Clinic has been issued the NPI (National Provider Identifier) 1306823596, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wk North Orthopedic Clinic's facilities are geographically located?
The facilities of Wk North Orthopedic Clinic are physically situated at the following location: 1202 Louisiana Ave, Shreveport, LA, 711013910.
What is the Wk North Orthopedic Clinic's area of specialization and corresponding taxonomy classification?
The Wk North Orthopedic Clinic's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date did Wk North Orthopedic Clinic receive its 1306823596 assignment from the Centers for Medicare & Medicaid Services?
The Wk North Orthopedic Clinic was assigned its 1306823596 on 2005-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wk North Orthopedic Clinic most recently updated?
The details pertaining to the Wk North Orthopedic Clinic, including its address, specialty, and other relevant information, were last refreshed on 2012-06-08.