Wk Spine Clinic
NPI 1174007728ActiveOrganization· Orthopaedic Surgery· Shreveport, LA
Orthopaedic Surgery in Shreveport, Louisiana, registered in NPPES in September 2018. The authorized official on file is Greg J. Gavin, Network Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174007728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Sep 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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