WAKE SPECIALTY PHYSICIANS (NPI# 1396000188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396000188 |
| Entity Type | Organization |
| Organization Name | WAKE SPECIALTY PHYSICIANS |
| Other Organization Name | WSP MORRISVILLE PRIMARY CARE |
| Practice Address |
6102 Grace Park Dr Morrisville NC 27560-6003 |
| Mailing Address |
3024 New Bern Ave Raleigh NC 27610-1247 |
| Practice Telephone | 9192356405 |
| Mailing Telephone | 9193508000 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | DR. SUSAN TUCKER WEAVER (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9193508228 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE SPECIALTY PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WSP MORRISVILLE PRIMARY CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1225417132 | Wake Specialty Physicians | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2015-05-26 |
| 1942554019 | Wake Specialty Physicians | Internal Medicine | 555 Medical Park Pl, Suite 110, Clayton, NC 27520-2174 | 2012-10-29 |
| 1598011173 | Wake Specialty Physicians | Internal Medicine | 100 Ridge View Dr, Suite 105, Cary, NC 27511-5589 | 2012-08-01 |
| 1548539380 | Wake Specialty Physicians | Durable Medical Equipment & Medical Supplies | 212 Ashville Ave, Suite 30, Cary, NC 27518-6669 | 2011-12-23 |
| 1215206057 | Wake Specialty Physicians | Durable Medical Equipment & Medical Supplies | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2011-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Wake Specialty Physicians LLC | 3000 New Bern Avenue, Raleigh, NC 27610-1231 |
| Street Address |
6102 GRACE PARK DR |
| City | MORRISVILLE |
| State | NC |
| Zip Code | 27560-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164688644 | Swapna Veerabhadriah Chenna | Family Medicine | 6102 Grace Park Dr, Morrisville, NC 27560-6003 | 2008-08-04 |
| 1689085433 | Kaebah Orme-evans | Obstetrics & Gynecology | 6102 Grace Park Dr, Morrisville, NC 27560 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196214 | Ginger Sweeney Pearcy | Massage Therapist | 6404 Mccrimmon Parkway, Suite 230, Morrisville, NC 27560 | 2018-12-31 |
| 1073006144 | Wake Toxicology Laboratory LLC | Clinical Medical Laboratory | 112 Nova Dr, Morrisville, NC 27560 | 2018-06-12 |
| 1689118713 | Elizabeth Lee Morefield | Social Worker | Unc Physician Network -chatham Medical Specialists, 2000 Perimeter Park Drive Suite 200, Morrisville, NC 27560 | 2016-12-08 |
| 1316394471 | Daniel Wolverton | Pharmacist | 1025 Think Pl Ste 460, Morrisville, NC 27560 | 2016-05-18 |
| 1669874756 | Bejal Patel | Pharmacist | 3560 Davis Drive, Morrisville, NC 27560 | 2014-09-19 |
| 1679982409 | Apollo Lin | Pharmacist | 1001 Shiloh Glenn Drive, Morrisville, NC 27560 | 2014-08-06 |
| 1063834877 | Julie Jesiolowski | Genetic Counselor, MS | 7010 Kit Creek Road, Morrisville, NC 27560 | 2014-01-14 |
| 1053637652 | Blake E Livingood | Chiropractor | 1901 Nw Cary Pkwy Ste 111, Morrisville, NC 27560 | 2010-04-08 |
| 1679709752 | Karen Rose Stellpflug | Internal Medicine | 3900 South Paramount Parkway, Morrisville, NC 27560 | 2009-06-03 |
| 1881829323 | Clear Vision Exams Optometric | Optometrist | 1101 Shiloh Glenn Drive, Morrisville, NC 27560 | 2009-05-28 |
| Find all providers in zip 27560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| 1982935193 | Montibello Continium Care Inc | Family Medicine | 3608 Davis Dr, Morrisville, NC 27560-8818 | 2010-01-28 |
| 1659518793 | Aruna Gouru | Family Medicine | 1512 Corwith Dr, Morrisville, NC 27560-9548 | 2009-01-12 |
| 1164688644 | Swapna Veerabhadriah Chenna | Family Medicine | 6102 Grace Park Dr, Morrisville, NC 27560-6003 | 2008-08-04 |
| 1033370861 | Thomas Payson Thompson | Family Medicine | 6402 Mccrimmon Pkwy Ste 100, Morrisville, NC 27560 | 2008-06-24 |
| 1013000173 | Christopher Z Rayala | Family Medicine | 10950 Chapel Hill Rd, Morrisville, NC 27560-8852 | 2006-10-02 |
| 1841301744 | Lawrence Richard Peck | Family Medicine | 312 W Trenton Ave, Suite #4, Morrisville, PA 19067-2041 | 2006-08-31 |
| 1790703593 | Pennsbury Medical Practice, P.C. | Family Medicine | 201 Woolston Drive, Suite 1e, Morrisville, PA 19067 | 2006-07-18 |
| 1265460539 | Joseph E. Pinciotti Jr. | Family Medicine | 301 W Bridge St, Morrisville, PA 19067-2356 | 2006-06-28 |
| 1578542353 | Philip G Kiely | Family Medicine | 109 Professional Dr, Morrisville, VT 05661-9301 | 2006-01-11 |
| Find all providers in MORRISVILLE | ||||
| City | MORRISVILLE |
| Zip Code | 27560 |
Please comment or provide details below to improve the information on WAKE SPECIALTY PHYSICIANS.
| 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.