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WAKEMED SPECIALISTS GROUP LLC NPI 1205491495


NPI Information

NPI: 1205491495
Provider Name: WAKEMED SPECIALISTS GROUP LLC

Other Name: WAKEMED PULMONOLOGY

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 232-5202
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WAKEMED SPECIALISTS GROUP LLC is a pulmonary disease internal medicine in Raleigh, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. WAKEMED SPECIALISTS GROUP LLC NPI is 1205491495. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wakemed Pulmonology.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 232-5202
Fax: (919) 350-9844

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 5/3/2019 and was last updated on 8/21/2019.


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
1207RS0012XInternal MedicineSleep MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

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
11205491495MEDICAIDNORTH 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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