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WAKEMED SPECIALISTS GROUP LLC NPI 1265097695


NPI Information

NPI: 1265097695
Provider Name: WAKEMED SPECIALISTS GROUP, LLC

Other Name: WAKEMED CHILDRENS PEDIATRIC ENDOCRINOLOGY

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 34D2165547

Address:
23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7584
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WAKEMED SPECIALISTS GROUP, LLC is a pediatric endocrinology pediatrics in Raleigh, NC. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. WAKEMED SPECIALISTS GROUP, LLC NPI is 1265097695. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wakemed Childrens Pediatric Endocrinology.

The provider's business location address is:

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-855
Phone: (919) 350-7584
Fax: (919) 231-0314

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 CLIA number assigned to this NPI record is 34D2165547 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/1/2019 and was last updated on 8/14/2019.


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
12080P0205XPediatricsPediatric EndocrinologyYes

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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