ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL
NPI 1679615207
Urology in Bossier City, LA
NPI Status: Active since February 12, 2007
Contact Information
2300 HOSPITAL DR
SUITE 400
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 841-4004
- Organization
- Urology
- CLIA Number: 19D2001633
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL
This page provides the complete NPI Profile along with additional information for Ark La Tex Urology & Prostate Cancer Institute, A Professional Medical, a provider established in Bossier City, Louisiana operating as a Urology. The healthcare provider is registered in the NPI registry with number 1679615207 assigned on February 2007. The practitioner's primary taxonomy code is 208800000X with license number 020454 (LA). The provider is registered as an organization and their NPI record was last updated 17 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 William Stewart Bundrick Jr. M.d. (Owner)
- NPI
- 1679615207
- Provider Name
- ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL
- Entity Type
- Organization
- Location Address
- 2300 HOSPITAL DR SUITE 400 BOSSIER CITY, LA 71111
- Location Phone
- (318) 841-4004
- Mailing Address
- 2300 HOSPITAL DR SUITE 400 BOSSIER CITY, LA 71111
- Mailing Phone
- (318) 841-4004
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2007
- Last Update Date
- 09-03-2008
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 020454
- License State
- LA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F72811 | MEDICARE UPIN (02) | ||
| 5CP05 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2001633
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- W S. BUNDRICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ark La Tex Urology & Prostate Cancer Institute, A Professional Medical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ARK LA TEX UROLOGY & PROSTATE CANCER INSTITUTE, A PROFESSIONAL MEDICAL
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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. | |||||||||
| 1 | 6 | 7 | 9 | 6 | 1 | 5 | 2 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 12 | 1 | 10 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 2 + 1 + 1 + 0 + 2 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1679615207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609844034 | DALE V BAUMAN M.D. Individual | Specialist | 2300 HOSPITAL DR #310 BOSSIER CITY, LA 71111 (318) 752-1502 |
| 1164464889 | WK LOUISIANA FAMILY PRACTICE Organization | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1619919982 | RICKY G DAVIDSON MD AND WILLIS KNIGHTON MEDICAL CENTER Organization | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1093759854 | SCOTT LOUIS MIGHELL MD Individual | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1073557542 | DANIEL L. PAYNE MD Individual | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1396789749 | WILLIS-KNIGHTON MEDICAL CENTER, INC. Organization | Otolaryngology | 2300 HOSPITAL DR SUITE 320 BOSSIER CITY, LA 71111 (318) 212-7952 |
| 1740226505 | SANJAYKUMAR B SHAH MD Individual | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1659317410 | MELANIE SMITH MD Individual | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1982640884 | WK URGENT CARE CENTER - BOSSIER Organization | Family Medicine | 2300 HOSPITAL DR SUITE 180 BOSSIER CITY, LA 71111 (318) 212-7520 |
| 1154357275 | QUYNH DANG MD AND WILLIS-KNIGHTON MEDICAL CENTER Organization | Pediatrics | 2300 HOSPITAL DR SUITE 120 BOSSIER CITY, LA 71111 (318) 212-7883 |
| 1457380578 | LESLIE SEWELL MD & WILLIS-KNIGHTON MEDICAL CENTER Organization | Internal Medicine | 2300 HOSPITAL DR SUITE 330 BOSSIER CITY, LA 71111 (318) 212-7848 |
| 1306878509 | TED BROOX WARREN MD Individual | Family Medicine | 2300 HOSPITAL DR SUITE 200 BOSSIER CITY, LA 71111 (318) 212-7830 |
| 1093822496 | AVA C MCELWEE APRNC Individual | Nurse Practitioner (Women's Health) | 2300 HOSPITAL DR SUITE 140 BOSSIER CITY, LA 71111 (318) 746-4842 |
| 1790859031 | DR. JAMES DONALD DOSSEY MD Individual | Preventive Medicine (Occupational Medicine) | 2300 HOSPITAL DR SUITE 160 BOSSIER CITY, LA 71111 (318) 212-7750 |
| 1104947589 | BOSSIER EYE INSTITUTE LLC Organization | Ophthalmology | 2300 HOSPITAL DR SUITE 140 BOSSIER CITY, LA 71111 (318) 746-2020 |
| 1215129507 | WILLIS-KNIGHTON MEDICAL CENTER, INC. Organization | Obstetrics & Gynecology | 2300 HOSPITAL DR SUITE 140 BOSSIER CITY, LA 71111 (318) 746-4842 |
| 1104004720 | KERRI LUCKEN TYNES P.A. Individual | Physician Assistant (Medical) | 2300 HOSPITAL DR SUITE 450 BOSSIER CITY, LA 71111 (318) 752-2328 |
| 1053566653 | ZAFFATER EYE CENTER, LLC Organization | Ophthalmology | 2300 HOSPITAL DR SUITE 300 BOSSIER CITY, LA 71111 (318) 747-5838 |
| 1679809933 | KELLI A. JACOB NP Individual | Nurse Practitioner | 2300 HOSPITAL DR SUITE 360 BOSSIER CITY, LA 71111 (318) 212-7902 |
| 1902138498 | ENDOVASCULAR TECHNOLOGIES, LLC Organization | Internal Medicine (Interventional Cardiology) | 2300 HOSPITAL DR SUITE 450 BOSSIER CITY, LA 71111 (318) 752-2328 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679615207, enumerated in the NPI registry as an "organization" on February 12, 2007
The provider is located at 2300 Hospital Dr Suite 400 Bossier City, La 71111 and the phone number is (318) 841-4004
This medical organization specializes in Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 19D2001633 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 12, 2007. 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].
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