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WAKE SPECIALTY PHYSICIANS LLC NPI 1467863480


NPI Information

NPI: 1467863480
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC

Doing Business As: WAKEMED PEDIATRIC SURGERY

Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8797
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WAKE SPECIALTY PHYSICIANS, LLC is a surgical critical care surgery in Raleigh, NC. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1467863480. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Pediatric Surgery.

The provider's business location address is:

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-855
Phone: (919) 350-8797
Fax: (919) 350-7859

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director 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
12086S0102XSurgerySurgical Critical CareYes

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 PIN

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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