WAKEMED SPECIALISTS GROUP, LLC (NPI# 1013571587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013571587 |
Entity Type | Organization |
Organization Name | WAKEMED SPECIALISTS GROUP, LLC |
Practice Address |
160 Macgregor Pines Dr Cary NC 27511-6036 |
Mailing Address |
2920 Highwoods Blvd Raleigh NC 27604-0010 |
Practice Telephone | 9192344468 |
Mailing Telephone | 9193500554 |
Mailing Fax Number | 9193507687 |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |
Authorized Official Name | MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE) |
Authorized Official Telephone | 9193506089 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WakeMed Bariatrics Surgery & Medical Weight Loss | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326681164 | Wakemed Specialists Group, LLC | Durable Medical Equipment & Medical Supplies | 2930 Forestville Rd Ste 100, Raleigh, NC 27616-8774 | 2019-10-24 |
1407409543 | Wakemed Specialists Group, LLC | Pediatrics | 104 Medspring Dr, Clayton, NC 27520-9687 | 2019-07-18 |
1114582301 | Wakemed Specialists Group, LLC | Physical Therapist | 10010 Falls of Neuse Rd Ste 9, Raleigh, NC 27614-8495 | 2019-05-03 |
1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
1326684077 | Wakemed Specialists Group, LLC | Clinic/Center | 811 Us 70 Hwy W, Garner, NC 27529-2541 | 2019-11-18 |
1013552322 | Wakemed Specialists Group, LLC | Clinic/Center | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 | 2019-11-11 |
1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
1184289159 | Wakemed Specialists Group, LLC | Clinic/Center | 222 Ashville Ave Ste 10, Cary, NC 27518-6130 | 2019-05-06 |
1992360960 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 400 Us Highway 70 E, Ste 100, Garner, NC 27529-4850 | 2019-05-06 |
1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
Street Address |
160 MACGREGOR PINES DR |
City | CARY |
State | NC |
Zip Code | 27511-6036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184694499 | David M Pilati | Surgery | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2006-01-26 |
1124506464 | Evolution Physical Therapy and Wellness LLC | Clinic/Center | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-07-30 |
1922591049 | Wake Specialty Physicians, LLC | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-06-13 |
1194189837 | Emergeortho, Pa | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2016-04-08 |
1518350289 | Kristin Kelly Clowes | Dietitian, Registered | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2015-03-05 |
1568873198 | Bariatric Specialists of North Carolina | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2014-05-16 |
1265854053 | Medisuite | Pharmacy | 160 Macgregor Pines Dr, Suite 110, Cary, NC 27511-6036 | 2014-01-13 |
1124377247 | Sarah A Stout | Physician Assistant | 160 Macgregor Pines Dr, Cary, NC 27511 | 2012-09-05 |
1467712679 | Patrick James Mahaney | Nutritionist | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2012-05-22 |
1033487806 | Gregory Thomas Anderson | Nurse Practitioner | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2011-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
Find all providers in zip 27511 |
Taxonomy Code | 207RB0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Obesity Medicine |
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497912604 | Kajal G Zalavadia | Internal Medicine | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2008-05-16 |
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1346627973 | Novant Medical Group, Inc. | Internal Medicine | 1710 Kernersville Medical Pkwy Ste 210, Kernersville, NC 27284-7157 | 2015-05-04 |
1093141392 | Novant Medical Group, Inc | Internal Medicine | 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147-1165 | 2013-09-18 |
1063774461 | Melody Covington | Internal Medicine | 6135 Park South Dr Ste 510, Charlotte, NC 28210-0100 | 2012-06-12 |
1023319449 | Novant Medical Group, Inc | Internal Medicine | 911 West Henderson Street, Kiser Building, Suite 410, Salisbury, NC 28144-2700 | 2010-11-17 |
1629516067 | Novant Medical Group, Inc | Internal Medicine | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3670 | 2017-02-06 |
1932659901 | Novant Medical Group, Inc | Internal Medicine | 5701 W Friendly Ave, Greensboro, NC 27410-4112 | 2016-10-13 |
1134594013 | Regional Physicians LLC | Internal Medicine | 300 Gatewood Ave, High Point, NC 27262 | 2015-12-03 |
1538545090 | Mission Medical Associates Inc | Internal Medicine | 360 Hospital Dr, Clyde, NC 28721-0107 | 2015-08-07 |
1487051298 | Mission Medical Associates Inc. | Internal Medicine | 430 Rankin Dr, Marion, NC 28752-6568 | 2014-11-21 |
1316344229 | Mission Medical Associates Inc | Internal Medicine | 260 Hospital Dr, Brevard, NC 28712-3378 | 2014-11-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.