WAKE SPECIALTY PHYSICIANS LLC NPI 1780076000

NPI Information

NPI: 1780076000
Provider Name: WAKE SPECIALTY PHYSICIANS LLC

Doing Business As: WAKEMED HEART & VASCULAR PHYSICIANS COMPLEX ARRHYTHMIA

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7600
Get Directions

WAKE SPECIALTY PHYSICIANS LLC is a cardiovascular disease internal medicine in Raleigh, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WAKE SPECIALTY PHYSICIANS LLC NPI is 1780076000. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Heart & Vascular Physicians Complex Arrhythmia.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-7600
Fax: (919) 350-8333

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 2/24/2015 and was last updated on 9/2/2016.

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	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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
1	2347332	MEDICARE PIN	NORTH CAROLINA
2	1942440375	MEDICAID	NORTH 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

NPI Synchronization or Removal

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