WAKE SPECIALTY PHYSICIANS LLC NPI 1740680222

NPI Information

  • NPI: 1740680222
  • Provider Name: WAKE SPECIALTY PHYSICIANS, LLC
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Organization
  • Doing Business As: WAKEMED PEDIATRIC GASTROENTEROLOGY
  • Address: 23 SUNNYBROOK RD
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 235-6435

Map and Directions

Get Directions

NPI Details

WAKE SPECIALTY PHYSICIANS, LLC is a pediatric gastroenterology pediatrics in Raleigh, NC. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1740680222. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Pediatric Gastroenterology.

The provider's business location address is:

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-855
Phone: (919) 235-6435
Fax: (919) 231-0314

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 9/3/2014 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI