WAKEMED SPECIALISTS GROUP, LLC


Address: 3024 New Bern Ave, Raleigh, NC 27610-1247
Phone: 9193505318

WAKEMED SPECIALISTS GROUP, LLC (NPI# 1356906705) 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) 1356906705
Entity Type Organization
Organization Name WAKEMED SPECIALISTS GROUP, LLC
Practice Address 3024 New Bern Ave
Raleigh
NC 27610-1247
Mailing Address 2920 Highwoods Blvd
Raleigh
NC 27604-0010
Practice Telephone 9193505318
Practice Fax Number 9193507093
Mailing Telephone 9193500552
Mailing Fax Number 9193507687
Enumeration Date 2019-05-01
Last Update Date 2019-05-01
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 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

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

Other Provider IDs and Locations

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

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
1205491487 Wakemed Specialists Group LLC Urology 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
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 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730400268 Amit Patel Internal Medicine 10207 Cerny St Ste 210, Raleigh, NC 27617-4887 2010-06-18
1811049307 John V Yacono Internal Medicine 1011 Dresser Ct, Raleigh, NC 27609-7323 2007-01-17
1780778548 Anant B Soni Md Pa Internal Medicine 3124 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8041 2006-10-03
1750348769 Sharif Riaz Chowdhury Internal Medicine 3024 New Bern Avenue, Suite 301, Raleigh, NC 27610 2006-04-26
1518968775 Seth A Kaplan Internal Medicine 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 2005-08-09
1073519880 Ruth Mokeba-ekangaki Internal Medicine 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-6673 2005-06-27
1588227839 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-04-22
1033679774 Molly Whittaker Mcelroy Internal Medicine 3100 Blue Ridge Rd Ste 300, Raleigh, NC 27612-8002 2019-03-20
1487139929 Raleigh D Eckert Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2018-10-01
1386195444 Rex Hospital Inc Internal Medicine 2417 Atrium Drive, Suite 150, Raleigh, NC 27607-6673 2016-10-24
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27610

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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.

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