WAKE EMERGENCY PHYSICIANS PA NPI 1174086441

NPI Information

  • NPI: 1174086441
  • Provider Name: WAKE EMERGENCY PHYSICIANS PA
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 509 N BRIGHTLEAF BLVD
    SMITHFIELD, NC
    ZIP 27577
  • Phone: (919) 934-8171

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NPI Details

WAKE EMERGENCY PHYSICIANS PA is an emergency medicine in Smithfield, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WAKE EMERGENCY PHYSICIANS PA NPI is 1174086441. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

509 N BRIGHTLEAF BLVD
SMITHFIELD, NC
ZIP 27577-407
Phone: (919) 934-8171
Fax: (919) 336-4363

The provider's authorized official is Jennifer Raley .
The authorized official title is Managing Partner and has the following contact phone number (919) 859-3373.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 4/12/2019.

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
1207P00000XEmergency MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10295FOTHERNORTH CAROLINABCBS
2CD5224OTHERNORTH CAROLINARAILROAD MEDICARE
32319661AOTHERMEDICARE

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: 11/21/2025

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