BOSSIER EAR NOSE AND THROAT – NPI #1396789749
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

BOSSIER EAR NOSE AND THROAT is an otolaryngologist located in BOSSIER CITY, LA. NPPES has assigned the NPI number 1396789749 to BOSSIER EAR NOSE AND THROAT on June 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOSSIER EAR NOSE AND THROAT” is a dba name, the actual legal business name for this organization is WILLIS-KNIGHTON MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 14 years ago on Dec 20, 2011. 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 BOSSIER EAR NOSE AND THROAT below.

NPI Profile for
WILLIS-KNIGHTON MEDICAL CENTER, INC.

NPI Number
1396789749
Enumeration Date

(about 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
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Doing Business As (dba): BOSSIER EAR NOSE AND THROAT
Primary location
2300 HOSPITAL DR
SUITE 320
BOSSIER CITY, LA 71111-2394
Phone: (318) 212-7952 Fax: (318) 212-7949
Mailing address
Same as primary location
Organization Subpart
Yes - BOSSIER EAR NOSE AND THROAT is subpart of another organization.
Authorized Official
GREG GAVIN
NETWORK ADMINISTRATOR
Phone: (318) 212-7952
Updated
Identifiers

Identifiers for BOSSIER EAR NOSE AND THROAT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1450812
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
207Y00000X
- Otolaryngology (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.