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WAKEMED SPECIALISTS GROUP LLC NPI 1053976415


NPI Information

NPI: 1053976415
Provider Name: WAKEMED SPECIALISTS GROUP, LLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7856
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WAKEMED SPECIALISTS GROUP, LLC is an otolaryngology in Raleigh, NC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. WAKEMED SPECIALISTS GROUP, LLC NPI is 1053976415. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610-247
Phone: (919) 350-7856

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director Of Finance and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 5/1/2019.


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
1207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
3207Y00000XOtolaryngologyYes

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: 4/28/2024

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