Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destin R. Black, MD

Individual provider Gynecologic Oncology Physician · NPI 1306062625

Destin R. Black, MD is a Gynecological Oncology in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1999, 27 years ago. Practices with Wk Gynecologic Oncology Clinic, a 5-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
27
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2600 Kings Hwy Ste 420
Shreveport, LA 71103-3950
Phone: (318) 212-8727
Fax: (318) 212-8771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 024725 (LA)

Record details

NPI number1306062625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGYNECOLOGICAL ONCOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1999 (27 years in practice)
Group practice Wk Gynecologic Oncology Clinic — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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