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WAKE SPECIALTY PHYSICIANS LLC NPI 1346651379


NPI Information

NPI: 1346651379
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC

Doing Business As: WAKEMED HEART & VASCULAR PHYSICIANS CAROLINA CARDIOVASCULAR SURGICAL A

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 231-6333
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WAKE SPECIALTY PHYSICIANS, LLC is a thoracic surgery cardiothoracic vascular surgery in Raleigh, NC. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1346651379. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Heart & Vascular Physicians Carolina Cardiovascular Surgical A.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 231-6333
Fax: (919) 231-6334

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

The enumeration date for this NPI number is 5/13/2014 and was last updated on 9/12/2016.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNORTH CAROLINANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11942440375MEDICAIDNORTH CAROLINA
22347332MEDICARE PINNORTH CAROLINA

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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