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Wk Dermatology Clinic

NPI 1538372883ActiveOrganization· Dermatology· Bossier City, LA

Dermatology in Bossier City, Louisiana, registered in NPPES in May 2007. The authorized official on file is Mary Jane Ward, Senior Vp Finance. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1538372883
StatusActive
Entity typeOrganization
NPI issuedMay 7, 2007
Last updated in NPPESFeb 26, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (LA)

Medicare sources and data years

Other Dermatology providers in Bossier City

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