Wk Bossier Orthopedic & Sports
NPI 1588715791ActiveOrganization· Orthopaedic Surgery· Bossier City, LA
Orthopaedic Surgery in Bossier City, Louisiana, registered in NPPES in January 2007. The authorized official on file is Greg J. Gavin, Network Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588715791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Jun 8, 2012 |
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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