Wk Tots to Teens Pediatric Center
NPI 1063769255 · Pediatrics Physician · Shreveport, LA
Wk Tots to Teens Pediatric Center is a Pediatrics Physician organization in Shreveport, LA (NPI 1063769255).
Provider details
- NPI number
- 1063769255
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-4232
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Frequently asked questions
- What is Wk Tots to Teens Pediatric Center's NPI number?
- Wk Tots to Teens Pediatric Center's National Provider Identifier (NPI) is 1063769255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wk Tots to Teens Pediatric Center?
- Wk Tots to Teens Pediatric Center is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Wk Tots to Teens Pediatric Center located?
- Wk Tots to Teens Pediatric Center's practice location on file with NPPES is 845 Olive St, Shreveport, LA 71104-2141.
- What is Wk Tots to Teens Pediatric Center's phone number?
- The practice phone number listed in the NPPES registry for Wk Tots to Teens Pediatric Center is (318) 226-4892.
- Who is the authorized official for Wk Tots to Teens Pediatric Center?
- The authorized official listed on Wk Tots to Teens Pediatric Center's NPPES record is Greg Gavin, Network Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wk Tots to Teens Pediatric Center's NPI active?
- Yes — Wk Tots to Teens Pediatric Center's NPI (1063769255) is active in the NPPES registry as of the last update on 2012-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.