Willis-Knighton Medical Center Mark Richard Mainous
NPI 1720014145 · Surgical Critical Care Physician · Bossier City, LA
Willis-Knighton Medical Center Mark Richard Mainous is a Surgical Critical Care Physician organization in Bossier City, LA (NPI 1720014145).
Provider details
- NPI number
- 1720014145
- Entity type
- Organization
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-7810
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
19 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
- 2006-06-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Willis-Knighton Medical Center Mark Richard Mainous's NPI number?
- Willis-Knighton Medical Center Mark Richard Mainous's National Provider Identifier (NPI) is 1720014145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willis-Knighton Medical Center Mark Richard Mainous?
- Willis-Knighton Medical Center Mark Richard Mainous is classified in the NPPES registry as Surgical Critical Care Physician (Allopathic & Osteopathic Physicians).
- Where is Willis-Knighton Medical Center Mark Richard Mainous located?
- Willis-Knighton Medical Center Mark Richard Mainous's practice location on file with NPPES is 2400 Hospital Dr, Bossier City, LA 71111-2385.
- What is Willis-Knighton Medical Center Mark Richard Mainous's phone number?
- The practice phone number listed in the NPPES registry for Willis-Knighton Medical Center Mark Richard Mainous is (318) 212-7810.
- Who is the authorized official for Willis-Knighton Medical Center Mark Richard Mainous?
- The authorized official listed on Willis-Knighton Medical Center Mark Richard Mainous'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 Willis-Knighton Medical Center Mark Richard Mainous's NPI active?
- Yes — Willis-Knighton Medical Center Mark Richard Mainous's NPI (1720014145) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.