D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
NPI 1134295520
Pediatrics in Shreveport, LA

NPI Status: Active since November 28, 2006

Contact Information

1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA
ZIP 71105
Phone: (318) 797-9000
Fax: (318) 797-9250

Get Directions Reviews

  • Organization
  • Pediatrics

About D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for D Gene Mack Jr Md And Willis-knighton Medical Center, a pediatrician established in Shreveport, Louisiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1134295520 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Greg J Gavin (Network Administrator)

NPI
1134295520
Provider Name
D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER
Entity Type
Organization
Location Address
1799 E BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA 71105
Location Phone
(318) 797-9000
Location Fax
(318) 797-9250
Mailing Address
1799 E BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA 71105
Mailing Phone
(318) 797-9000
Mailing Fax
(318) 797-9250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2006
Last Update Date
08-22-2020
Code Navigator

A pediatrician like D Gene Mack Jr Md And Willis-knighton Medical Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREG J GAVIN

Authorized Official Title
NETWORK ADMINISTRATOR
Authorized Official Phone
(318) 212-4232

Reviews for D GENE MACK JR MD AND WILLIS-KNIGHTON MEDICAL CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134295520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164491054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 9 + 1 + 0 + 5 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134295520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154498491 DONALD GENE MACK JR. MD
Individual
Pediatrics1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
(318) 797-9000
1801962204DONALD G MACK SR MD AND WILLIS-KNIGHTON MEDICAL CENTER
Organization
Pediatrics1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
(318) 797-9000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134295520, enumerated in the NPI registry as an "organization" on November 28, 2006

The provider is located at 1799 E Bert Kouns Industrial Loop Shreveport, La 71105 and the phone number is (318) 797-9000

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on November 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.