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WAKEMED FACULTY PRACTICE PLAN NPI 1396791786


NPI Information

NPI: 1396791786
Provider Name: WAKEMED FACULTY PRACTICE PLAN

Doing Business As: WAKEMED FACULTY PHYSICIANS

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3024 NEW BERN AVE
SUITE 300
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8228
Get Directions

WAKEMED FACULTY PRACTICE PLAN is a surgery in Raleigh, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. WAKEMED FACULTY PRACTICE PLAN NPI is 1396791786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Faculty Physicians.

The provider's business location address is:

3024 NEW BERN AVE
SUITE 300
RALEIGH, NC
ZIP 27610-247
Phone: (919) 350-8228
Fax: (919) 350-7976

The provider's authorized official is Michael I Cinoman .
The authorized official title is Vp, Wakemed Faculty Physicians and has the following contact phone number (919) 350-8228.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 1/9/2009.


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
1207X00000XOrthopaedic SurgeryNo
2207Y00000XOtolaryngologyNo
3208000000XPediatricsNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5208800000XUrologyNo
6103T00000XPsychologistNo
7363L00000XNurse PractitionerNo
8363A00000XPhysician AssistantNo
9122300000XDentistNo
10207Q00000XFamily MedicineNo
11208M00000XHospitalistNo
12207R00000XInternal MedicineNo
13207V00000XObstetrics & GynecologyNo
14208600000XSurgeryYes

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
10193MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
28903076MEDICAIDNORTH 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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