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WAKE SPECIALTY PHYSICIANS LLC NPI 1699186619


NPI Information

NPI: 1699186619
Provider Name: WAKE SPECIALTY PHYSICIANS LLC

Doing Business As: WAKEMED PRIMARY CARE DOWNTOWN RALEIGH

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2023349

Address:
150 E DAVIE ST
RALEIGH, NC
ZIP 27601
Phone: (919) 834-5299
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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 1699186619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Primary Care Downtown Raleigh.

The provider's business location address is:

150 E DAVIE ST
RALEIGH, NC
ZIP 27601-806
Phone: (919) 834-5299
Fax: (919) 350-9820

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 CLIA number assigned to this NPI record is 34D2023349 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/13/2014 and was last updated on 8/8/2019.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal 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
11699186619MEDICAIDNORTH 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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