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WAKE SPECIALTY PHYSICIANS LLC NPI 1760861678


NPI Information

NPI: 1760861678
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC

Doing Business As: WAKEMED PHYSICIAN PRACTICES UROGYNECOLOGY

Classification: Urology - 2088F0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614
Phone: (919) 350-1380
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WAKE SPECIALTY PHYSICIANS, LLC is a female pelvic medicine and reconstructive surgery urology in Raleigh, NC. The provider is a urologist subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1760861678. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Physician Practices Urogynecology.

The provider's business location address is:

10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614-494
Phone: (919) 350-1380
Fax: (919) 556-0124

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

The enumeration date for this NPI number is 5/26/2015 and was last updated on 3/14/2018.


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
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryNo
22088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryYes

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

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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