G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER – NPI #1467483636
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Health Care Provider Taxonomy Code for Pediatrics

G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER is a provider located in SHREVEPORT, LA. NPPES has assigned the NPI number 1467483636 to G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER on July 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 17 years ago on Jul 23, 2009. 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 G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER below.

NPI Profile for
G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER

NPI Number
1467483636
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
G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Primary location
2510 BERT KOUNS INDUSTRIAL LOOP
ROOM 215
SHREVEPORT, LA 71118-3119
Phone: (318) 212-5970 Fax: (318) 212-5975
Mailing address
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone: (318) 212-5946 Fax: (318) 212-4153
Organization Subpart
No
Authorized Official
GREG GAVIN
NETWORK ADMINISTRATOR
Phone: (318) 212-5970
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
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (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.