Willis Knighton Anesthesia Services

LBN: Willis Knighton Medical Center Inc. Crna Group
Willis Knighton Anesthesia Services is an health care organization with primary practice located at 2600 Greenwood Rd , Shreveport LA 71103-3908. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Willis Knighton Medical Center Inc. Crna Group can be contacted via phone (318) 212-4877, or through Alexander, Stacy H via phone (318) 212-4877.

Contact Information

Primary practice address
2600 Greenwood Rd Shreveport LA 71103-3908
Phone: (318) 212-4877
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Stacy H
Phone: (318) 212-4877

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1174546097
LBN Legal business name Willis Knighton Medical Center Inc. Crna Group
DBA Doing business as Willis Knighton Anesthesia Services
Authorized official Alexander, Stacy H
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 8th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174546097 NPPES
Louisiana MEDICAID 1441058

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