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WAKEMED FACULTY PRACTICE PLAN NPI 1013203819


NPI Information

NPI: 1013203819
Provider Name: WAKEMED FACULTY PRACTICE PLAN

Doing Business As: WAKEMED FACULTY PHYSICIANS - PEDIATRIC HOSPITALISTS/INTENSIVISTS

Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8000
Get Directions

WAKEMED FACULTY PRACTICE PLAN is a pediatric critical care medicine pediatrics in Raleigh, NC. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. WAKEMED FACULTY PRACTICE PLAN NPI is 1013203819. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Faculty Physicians - Pediatric Hospitalists/intensivists.

The provider's business location address is:

3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610-247
Phone: (919) 350-8000

The provider's authorized official is Susan Tucker Weaver .
The authorized official title is Senior Vice President and has the following contact phone number (919) 350-8228.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 7/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalistNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
32080P0203XPediatricsPediatric Critical Care MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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