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WAKE SPECIALTY PHYSICIANS LLC NPI 1235540287


NPI Information

NPI: 1235540287
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC

Doing Business As: WAKEMED GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-6484
Get Directions

WAKE SPECIALTY PHYSICIANS, LLC is a gastroenterology internal medicine in Raleigh, NC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1235540287. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Gastroenterology.

The provider's business location address is:

3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610-247
Phone: (919) 350-6484
Fax: (919) 350-6003

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

The enumeration date for this NPI number is 5/13/2014 and was last updated on 9/12/2016.


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
1207RG0100XInternal MedicineGastroenterologyYes

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
22347332MEDICARE PINNORTH 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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