CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER – NPI #1477519858
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER is a provider located in SHREVEPORT, LA. NPPES has assigned the NPI number 1477519858 to CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER on April 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 18 years ago on Dec 18, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER below.

NPI Profile for
CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER

NPI Number
1477519858
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Primary location
2600 KINGS HWY
SUITE 340
SHREVEPORT, LA 71103-3950
Phone: (318) 212-8620 Fax: (318) 212-8625
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREG GAVIN
NETWORK ADMINISTRATOR
Phone: (318) 212-8620
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.