WAKE EMERGENCY PHYSICIANS PA (NPI# 1174086441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174086441 |
| Entity Type | Organization |
| Organization Name | WAKE EMERGENCY PHYSICIANS PA |
| Practice Address |
509 N Brightleaf Blvd Smithfield NC 27577-4407 |
| Mailing Address |
Po Box 890053 Charlotte NC 28289-0053 |
| Practice Telephone | 9199348171 |
| Practice Fax Number | 9193364363 |
| Mailing Telephone | 8556919890 |
| Mailing Fax Number | 9193508874 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | DR. JENNIFER RALEY (MANAGING PARTNER) |
| Authorized Official Telephone | 9198593373 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0295F | 01 |
| NC | RAILROAD MEDICARE | CD5224 | 01 |
| MEDICARE | 2319661A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225268238 | Wake Emergency Physicians Pa | Emergency Medicine | 2138 Highway 42 West, Clayton, NC 27520 | 2009-07-24 |
| 1033770292 | Wake Emergency Physicians Pa | Emergency Medicine | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2019-06-27 |
| 1265923205 | Wake Emergency Physicians Pa | Emergency Medicine | 210 Towne Village Dr, Cary, NC 27513-8910 | 2018-05-25 |
| 1235562067 | Wake Emergency Physicians Pa | Emergency Medicine | 400 Us 70 Hwy E, Garner, NC 27529 | 2013-08-15 |
| 1972842839 | Wake Emergency Physicians Pa | Emergency Medicine | 1010 College St, Oxford, NC 27565 | 2013-02-12 |
| 1699044669 | Wake Emergency Physicians Pa | Emergency Medicine | 8001 T W Alexander Dr, Raleigh, NC 27617 | 2011-12-21 |
| 1043492853 | Wake Emergency Physicians Pa | Emergency Medicine | 120 Healthplex Way, Apex, NC 27502 | 2007-12-04 |
| 1912071903 | Wake Emergency Physicians Pa | Emergency Medicine | 10000 Falls of Neuse Rd, Raleigh, NC 27614 | 2006-11-20 |
| 1043251960 | Wake Emergency Physicians Pa | Emergency Medicine | 1900 Kildaire Farm Rd, Cary, NC 27518 | 2006-06-10 |
| 1922063387 | Wake Emergency Physicians Pa | Emergency Medicine | 3000 New Bern Ave, Raleigh, NC 27610 | 2006-04-19 |
| Street Address |
509 N BRIGHTLEAF BLVD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535239 | Obafemi Adewunmi | Internal Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2005-06-02 |
| 1093331936 | Adam Aydin Atik | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2020-06-16 |
| 1891336251 | Alexxis Rae Langton | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-10-07 |
| 1699259499 | Brittany Ann Jenkins | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-18 |
| 1891277810 | Kylie Mcdermott Cox | Registered Nurse | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-06 |
| 1043799208 | Edward A Fulghum | Physical Therapy Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-08-08 |
| 1629576533 | Ryan Matthew Jones | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-25 |
| 1245748946 | Avni Garg | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-16 |
| 1285146217 | Kiana Morgan Fussner | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2017-10-31 |
| 1548786577 | Maegan Hewett Coates | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982671228 | Sharon Roberts | Emergency Medicine | 118 Muirfield, Smithfield, VA 23430-6994 | 2006-03-07 |
| 1396733630 | Eric John Gloss | Emergency Medicine | 509 N Bright Leaf Blvd, Smithfield, NC 27577 | 2005-10-11 |
| 1528155272 | Michael A Evans | Emergency Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-10-06 |
| 1003854555 | Franklin Regional Emergency Physicians, Pllc | Emergency Medicine | 509 N Brightleaf Blvd, Emergency Department, Smithfield, NC 27577-4407 | 2006-06-04 |
| 1770560591 | Bestpractices of North Carolina PC | Emergency Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1770114555 | Carolina Neuropathy Centers, Pllc | Emergency Medicine | 21000 Torrence Chapel Rd Ste 101, Cornelius, NC 28031-6874 | 2020-01-30 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1205489275 | Rex Hospital Inc | Emergency Medicine | 6715 Mccrimmon Pkwy Ste 201, Cary, NC 27519-1916 | 2019-07-18 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on WAKE EMERGENCY PHYSICIANS PA.
| 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.