Wk Pediatric Surgical Associates
NPI 1316386436ActiveOrganization· Surgery, Pediatric Surgery· Shreveport, LA
Surgery, Pediatric Surgery in Shreveport, Louisiana, registered in NPPES in June 2013. The authorized official on file is Greg J. Gavin, Network Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316386436 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2013 |
| Last updated in NPPES | Jun 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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