WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
NPI 1700812187
Pediatrics in Shreveport, LA
NPI Status: Active since June 25, 2006
Contact Information
2518 BERT KOUNS LOOP
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5437
Fax: (318) 212-5825
- Organization
- Pediatrics
- CLIA Number: 19D1073569
- CLIA Cert. Type: Other
- CLIA Exp. Date: 09-11-2025
About WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
This page provides the complete NPI Profile along with additional information for Willis-knighton Medical Center & Johnston Johnny Md, a pediatrician established in Shreveport, Louisiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1700812187 assigned on June 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
- 1700812187
- Provider Name
- WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD
- Entity Type
- Organization
- Location Address
- 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118
- Location Phone
- (318) 212-5437
- Location Fax
- (318) 212-5825
- Mailing Address
- 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118
- Mailing Phone
- (318) 212-5437
- Mailing Fax
- (318) 212-5825
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Willis-knighton Medical Center & Johnston Johnny Md 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.
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
- 19D1073569
- Facility Type
- Other
- Certificate Effective Date
- September 12, 2023
- Certificate Expiration Date
- September 11, 2025
- Laboratory Director
- RHONDA C. PETERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Willis-knighton Medical Center & Johnston Johnny Md 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.
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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 | 7 | 0 | 0 | 8 | 1 | 2 | 1 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 1 | 4 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 1 + 4 + 1 + 1 + 6 + 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 1700812187 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679754485 | WK CENTER FOR PEDIATRICS - SOUTH Organization | Pediatrics | 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118 (318) 212-5437 |
| 1225073836 | NEERA CHHABRA MD AND WILLIS-KNIGHTON MEDICAL CENTER Organization | Pediatrics | 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118 (318) 212-5437 |
| 1053347658 | KIMBERLY BURNS MD & WILLIS-KNIGHTON MEDICAL CENTER Organization | Pediatrics | 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118 (318) 212-5437 |
| 1275593998 | MELISSA LEUTHNER LAWHON M.D. Individual | Pediatrics | 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118 (318) 212-5437 |
| 1134164734 | NEERA CHHABRA MD Individual | Pediatrics | 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118 (318) 212-5437 |
| 1750319216 | KIMBERLY BURNS MD Individual | Pediatrics | 2518 BERT KOUNS LOOP SHREVEPORT, LA 71118 (318) 212-5437 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700812187, enumerated in the NPI registry as an "organization" on June 25, 2006
The provider is located at 2518 Bert Kouns Loop Shreveport, La 71118 and the phone number is (318) 212-5437
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 19D1073569 for a "other" 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 June 25, 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].
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