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WAKE SPECIALTY PHYSICIANS LLC NPI 1649680430


NPI Information

NPI: 1649680430
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614
Phone: (919) 350-0554
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WAKE SPECIALTY PHYSICIANS, LLC is an internal medicine in Raleigh, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1649680430. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614-494
Phone: (919) 350-0554

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 5/1/2014 and was last updated on 5/19/2014.


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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207V00000XObstetrics & GynecologyNo
4207X00000XOrthopaedic SurgeryNo
5207Y00000XOtolaryngologyNo
6208000000XPediatricsNo
7208600000XSurgeryNo
8208800000XUrologyNo
9225100000XPhysical TherapistNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo
12207R00000XInternal 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12347332MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.