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WAKE SPECIALTY PHYSICIANS LLC NPI 1811304678


NPI Information

NPI: 1811304678
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC

Doing Business As: WAKEMED URGENT CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
222 ASHVILLE AVE STE 10
CARY, NC
ZIP 27518
Phone: (919) 859-1136
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WAKE SPECIALTY PHYSICIANS, LLC is a durable medical equipment medical supplies in Cary, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1811304678. The provider is registered as an organization entity type.
The provider Is Doing Business As Wakemed Urgent Care.

The provider's business location address is:

222 ASHVILLE AVE STE 10
CARY, NC
ZIP 27518-130
Phone: (919) 859-1136
Fax: (919) 859-4240

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 7/14/2014 and was last updated on 5/3/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11013297365MEDICAIDNORTH CAROLINA
27108950007OTHERNORTH CAROLINADME PTAN

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: 5/5/2024

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