WAKEMED SPECIALISTS GROUP LLC


Address: 3024 New Bern Ave, Raleigh, NC 27610-1247
Phone: 9193507251

WAKEMED SPECIALISTS GROUP LLC (NPI# 1205491487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205491487
Entity Type Organization
Organization Name WAKEMED SPECIALISTS GROUP LLC
Other Organization Name WAKEMED UROLOGY
Practice Address 3024 New Bern Ave
Raleigh
NC 27610-1247
Mailing Address Po Box 603949
Charlotte
NC 28260-3949
Practice Telephone 9193507251
Practice Fax Number 9193501606
Mailing Telephone 9193500552
Mailing Fax Number 9193507687
Enumeration Date 2019-05-03
Last Update Date 2019-08-25
Authorized Official Name MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
Authorized Official Telephone 9193506089
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1205491487 05

Other Provider/Organization Names

Other Name Type Code
WakeMed Urology Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811522089 Wakemed Specialists Group LLC Internal Medicine 300 Keisler Dr, Cary, NC 27518-7083 2020-03-09
1497307334 Wakemed Specialists Group LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-07-11
1790343366 Wakemed Specialists Group LLC Pediatrics 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-30
1225693419 Wakemed Specialists Group LLC Surgery 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1417512690 Wakemed Specialists Group LLC Orthopaedic Surgery 3009 New Bern Ave, Raleigh, NC 27610-1214 2019-05-03
1205491495 Wakemed Specialists Group LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-05-03
1386209633 Wakemed Specialists Group LLC Clinic/Center 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 2019-05-02
1073178398 Wakemed Specialists Group LLC Internal Medicine 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-02
1518521905 Wakemed Specialists Group LLC Obstetrics & Gynecology 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-01
1255995643 Wakemed Specialists Group LLC Family Medicine 2820 Kidd Rd, Raleigh, NC 27610-1842 2019-05-01

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations WakeMed Specialists Group LLC 3000 New Bern Avenue, Raleigh, NC 27610

Office Location

Street Address 3024 NEW BERN AVE
City RALEIGH
State NC
Zip Code 27610-1247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588664924 Lynn M Rebello Pediatrics 3024 New Bern Ave, Raleigh, NC 27610 2005-07-28
1275158206 Alejandro Ramirez Lopez Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2020-06-16
1588225759 Wakemed Specialists Group, LLC Preventive Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1821659079 Sharon Elizabeth Booth Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1790343366 Wakemed Specialists Group LLC Pediatrics 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-30
1225693419 Wakemed Specialists Group LLC Surgery 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1720643927 Wakemed Specialists Group, LLC Otolaryngology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1649835836 Wakemed Specialists Group, LLC Internal Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1639734817 Wakemed Specialists Group, LLC Nutritionist 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1821653288 Wakemed Specialists Group, LLC Anesthesiology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
Find all providers in zip 27610

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720427289 Ajaydeep Singh Sidhu Urology 23 Sunnybrook Rd Ste 310, Raleigh, NC 27610-1874 2013-06-18
1477835502 Associated Urologists of North Carolina Pa Urology 3200 Blue Ridge Road, Suite 118, Raleigh, NC 27612-8087 2011-09-14
1770710691 Capital Urological Associates, P.a. Urology 3320 Wake Forest Road, Suite 320, Raleigh, NC 27609 2009-06-18
1891963120 Raleigh Urology Pa Urology 4201 Lake Boone Trl Ste 205, Raleigh, NC 27607-7511 2008-02-20
1437369691 Emil Mitter Kheterpal Urology 3821 Ed Drive, Raleigh, NC 27612 2007-05-23
1477520088 Carolina Specialty Oncology, Pa Urology 117 Sunnybrook Rd, Raleigh, NC 27610-1827 2006-03-02
1891786091 John Victor Kaspar Urology 3821 Ed Dr, Raleigh, NC 27612-8038 2005-11-04
1144767260 Associated Urologists of North Carolina, Pa Urology 10208 Cerny St, Suite 202, Raleigh, NC 27617-7884 2017-01-26
1497166334 Wake Specialty Physicians, LLC Urology 3024 New Bern Ave, Raleigh, NC 27610-1247 2014-05-14
1427469444 Wake Specialty Physicians, LLC Urology 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2014-05-13
Find all providers in RALEIGH

Competitor

Search similar providers

City RALEIGH
Zip Code 27610

Improve Information

Please comment or provide details below to improve the information on WAKEMED SPECIALISTS GROUP LLC.

Dataset Information

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.

Trending Searches