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WAKEMED SPECIALISTS GROUP LLC NPI 1336704766


NPI Information

NPI: 1336704766
Provider Name: WAKEMED SPECIALISTS GROUP, LLC

Other Name: WAKEMED CHILDRENS PEDIATRIC GASTROENTEROLOGY

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 235-6435
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WAKEMED SPECIALISTS GROUP, LLC is a pediatric gastroenterology pediatrics in Raleigh, NC. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. WAKEMED SPECIALISTS GROUP, LLC NPI is 1336704766. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wakemed Childrens Pediatric Gastroenterology.

The provider's business location address is:

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-855
Phone: (919) 235-6435
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 enumeration date for this NPI number is 5/1/2019 and was last updated on 8/19/2019.


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
12080P0206XPediatricsPediatric GastroenterologyYes

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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