Wk Red River Cardiovascular Surgeons
NPI 1639314271ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Shreveport, LA
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Shreveport, Louisiana, registered in NPPES in December 2008. The authorized official on file is Greg J. Gavin, Network Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639314271 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2008 |
| Last updated in NPPES | Jun 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | — |
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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