WAKEMED SPECIALISTS GROUP LLC NPI 1356906705

NPI Information

  • NPI: 1356906705
  • Provider Name: WAKEMED SPECIALISTS GROUP, LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 3024 NEW BERN AVE
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 350-5318

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NPI Details

WAKEMED SPECIALISTS GROUP, 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. WAKEMED SPECIALISTS GROUP, LLC NPI is 1356906705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3024 NEW BERN AVE
RALEIGH, NC
ZIP 27610-247
Phone: (919) 350-5318
Fax: (919) 350-7093

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

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: 3/30/2025

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