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WAKEMED SPECIALISTS GROUP LLC NPI 1104480532


NPI Information

NPI: 1104480532
Provider Name: WAKEMED SPECIALISTS GROUP, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 231-6132
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WAKEMED SPECIALISTS GROUP, LLC is a cardiovascular disease internal medicine in Raleigh, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WAKEMED SPECIALISTS GROUP, LLC NPI is 1104480532. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 231-6132

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 5/1/2019.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.