OrganizationActive
Wk Pediatric Gi Specialists
NPI 1336470574 · Pediatric Gastroenterology Physician · Shreveport, LA
Provider details
- NPI number
- 1336470574
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 424-4232
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2508 Bert Kouns Industrial Loop
Suite 101
Shreveport, LA 71118-3133
Phone: (318) 212-5858
Fax: (318) 212-5877
Street-level locationGet directions
Mailing address
2508 Bert Kouns Industrial Loop
Shreveport, LA 71118-3133
Registry dates
- Enumerated
- 2010-01-28
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.