| Wk Urgent Care Center-pierremont | |
|
1666 E Bert Kouns Loop Suite 105 Shreveport LA 71105-5714 | |
| (318) 212-3520 | |
| (318) 212-3525 |
| Full Name | Wk Urgent Care Center-pierremont |
|---|---|
| Speciality | Family Medicine |
| Location | 1666 E Bert Kouns Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Steven Randall (VP ADMINISTRATION) |
| Authorized Official Contact | 3182123520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Urgent Care Center-pierremont 1666 E Bert Kouns Loop Suite 105 Shreveport LA 71105-5714 Ph: (318) 212-3520 | Wk Urgent Care Center-pierremont 1666 E Bert Kouns Loop Suite 105 Shreveport LA 71105-5714 Ph: (318) 212-3520 |
| NPI Number | 1639115132 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 10/27/2015 |
| Medicare PECOS PAC ID | 8123016946 |
|---|---|
| Medicare Enrollment ID | O20040503000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639115132 | NPI | - | NPPES |
| 1440671 | Medicaid | LA |
| Provider Name | Catherine Speights |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942241450 PECOS PAC ID: 1355253840 Enrollment ID: I20031103000665 |
| Provider Name | Aaron L Lirette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194794800 PECOS PAC ID: 3678523834 Enrollment ID: I20050125000930 |
| Provider Name | Sanjaykumar B Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740226505 PECOS PAC ID: 3971556127 Enrollment ID: I20050228000591 |
| Provider Name | John Gordon Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629008214 PECOS PAC ID: 9436103124 Enrollment ID: I20050304000808 |
| Provider Name | Thanh D Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184658635 PECOS PAC ID: 6608894464 Enrollment ID: I20051110000059 |
| Provider Name | Esther M Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063493963 PECOS PAC ID: 4284648874 Enrollment ID: I20060202000928 |
| Provider Name | Angela Marie Birdsong Fellows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134215361 PECOS PAC ID: 2163424565 Enrollment ID: I20070214000249 |
| Provider Name | Paul Stuart Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902838105 PECOS PAC ID: 8426153669 Enrollment ID: I20070418000027 |
| Provider Name | Ted Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306878509 PECOS PAC ID: 3971693011 Enrollment ID: I20071213000342 |
| Provider Name | Man Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700097425 PECOS PAC ID: 0749353605 Enrollment ID: I20080725000080 |
| Provider Name | Thomas B Caskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174570998 PECOS PAC ID: 6901968833 Enrollment ID: I20081230000533 |
| Provider Name | Karen A. Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932106952 PECOS PAC ID: 7618020892 Enrollment ID: I20101229001095 |
| Provider Name | Tri H Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628802 PECOS PAC ID: 3678716107 Enrollment ID: I20130830000304 |
| Provider Name | West Charles Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790928232 PECOS PAC ID: 1557511037 Enrollment ID: I20140130001277 |
| Provider Name | Savita S Thorat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659503761 PECOS PAC ID: 9335398064 Enrollment ID: I20140311001245 |
| Provider Name | Robert C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972863231 PECOS PAC ID: 9436382025 Enrollment ID: I20140506001746 |
| Provider Name | Jennifer T Ranz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861781171 PECOS PAC ID: 5698991792 Enrollment ID: I20140725001881 |
| Provider Name | Melissa B Hanish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679914154 PECOS PAC ID: 9830197326 Enrollment ID: I20141001000110 |
| Provider Name | Nancy J Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134550189 PECOS PAC ID: 8527373166 Enrollment ID: I20150812006548 |
| Provider Name | Adrian Pavlick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750647376 PECOS PAC ID: 3779898887 Enrollment ID: I20150819007201 |
| Provider Name | Holly E Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516533 PECOS PAC ID: 7618284795 Enrollment ID: I20150922002816 |
| Provider Name | Joseph Pistone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831189836 PECOS PAC ID: 9739203027 Enrollment ID: I20150929002020 |
| Provider Name | Jamiee Lynn Brice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598137374 PECOS PAC ID: 5092017533 Enrollment ID: I20151230001189 |
| Provider Name | Danielle G Raley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194169466 PECOS PAC ID: 8729383138 Enrollment ID: I20160523000199 |
| Provider Name | Anand M Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433103 PECOS PAC ID: 7911205174 Enrollment ID: I20160620000756 |
| Provider Name | Jashua L Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972034155 PECOS PAC ID: 5698042851 Enrollment ID: I20170519000105 |
| Provider Name | Jared Mcfarlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437579455 PECOS PAC ID: 9335447556 Enrollment ID: I20170620002004 |
| Provider Name | David M Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063831352 PECOS PAC ID: 3870891146 Enrollment ID: I20170907002880 |
| Provider Name | Dana Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205353661 PECOS PAC ID: 9931474384 Enrollment ID: I20171011000517 |
| Provider Name | Sophia Tayebeh Shokouh-amiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134516578 PECOS PAC ID: 9032415286 Enrollment ID: I20190307001220 |
| Provider Name | Lindsey Tassin Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740642164 PECOS PAC ID: 3779877915 Enrollment ID: I20190806001907 |
| Provider Name | Leocardy Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785962 PECOS PAC ID: 1850620949 Enrollment ID: I20190916001970 |
| Provider Name | Shimekia Y Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942868880 PECOS PAC ID: 8123359031 Enrollment ID: I20191008000736 |
| Provider Name | Whitney C Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508282 PECOS PAC ID: 0840623468 Enrollment ID: I20191211002866 |
| Provider Name | Abigail Paige Tillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326488347 PECOS PAC ID: 3577706431 Enrollment ID: I20200103001576 |
| Provider Name | Malene Nilaja Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235776709 PECOS PAC ID: 8921434960 Enrollment ID: I20200211000532 |
| Provider Name | Karen E Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285265397 PECOS PAC ID: 9032548722 Enrollment ID: I20200401000056 |
| Provider Name | Ambrosia A Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735323 PECOS PAC ID: 4688960644 Enrollment ID: I20210219001430 |
| Provider Name | Courtney Dianne Vanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962078998 PECOS PAC ID: 9335544519 Enrollment ID: I20210826000989 |
| Provider Name | Elliot Jason Sorrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073045431 PECOS PAC ID: 4688940034 Enrollment ID: I20211122002107 |
| Provider Name | Prakash Giddaluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164603478 PECOS PAC ID: 8729153796 Enrollment ID: I20220308000313 |
| Provider Name | Cindy Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538887609 PECOS PAC ID: 3476911546 Enrollment ID: I20230621003167 |
| Provider Name | Elise Fontenot Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780048587 PECOS PAC ID: 9739477209 Enrollment ID: I20240528002794 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
J J Burgin Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1032 Lochinvar Ln, Shreveport, LA 71106 Phone: 562-569-1601 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 |