WAKEMED SPECIALISTS GROUP LLC NPI 1013571405

NPI Information

  • NPI: 1013571405
  • Provider Name: WAKEMED SPECIALISTS GROUP, LLC
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Organization
  • Other Name: WAKEMED CHILDRENS PEDIATRIC CARDIOLOGY
  • CLIA Number: 34D2113588
  • Address: 10010 FALLS OF NEUSE RD
    RALEIGH, NC
    ZIP 27614
  • Phone: (919) 235-6422

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NPI Details

WAKEMED SPECIALISTS GROUP, LLC is a pediatric cardiology pediatrics in Raleigh, NC. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. WAKEMED SPECIALISTS GROUP, LLC NPI is 1013571405. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wakemed Childrens Pediatric Cardiology.

The provider's business location address is:

10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614-495
Phone: (919) 235-6422
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 34D2113588 - physician office with a certificate type of Certificate of Waiver.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0202XPediatricsPediatric CardiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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