WAKE SPINE AND PAIN SPECIALISTS, PC (NPI# 1467992982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467992982 |
| Entity Type | Organization |
| Organization Name | WAKE SPINE AND PAIN SPECIALISTS, PC |
| Practice Address |
10880 Durant Rd Suite 324 Raleigh NC 27614-6628 |
| Mailing Address |
3801 Wake Forest Rd Ste 210 Raleigh NC 27609-6864 |
| Practice Telephone | 9197877246 |
| Practice Fax Number | 9197877247 |
| Mailing Telephone | 9197877246 |
| Mailing Fax Number | 9197877247 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | BERNADETTE MAUCERI (OFFICE MANAGER) |
| Authorized Official Telephone | 9197877246 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE SPINE AND PAIN SPECIALISTS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720528243 | Wake Spine and Pain Specialists, PC | Anesthesiology | 510 Timber Dr E Ste 105, Garner, NC 27529-4689 | 2017-03-02 |
| 1558801076 | Wake Spine and Pain Specialists, PC | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2017-03-02 |
| 1811437338 | Wake Spine and Pain Specialists, PC | Anesthesiology | 400 Keisler Dr, Cary, NC 27518-7069 | 2017-03-02 |
| Street Address |
10880 DURANT RD SUITE 324 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-6628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417927864 | Katherine Mccoy Myers | Physician Assistant | 10880 Durant Rd, Suite 124, Raleigh, NC 27614-6628 | 2006-01-26 |
| 1942685458 | Durant Road Pediatrics | Pediatrics | 10880 Durant Rd, Raleigh, NC 27614-6628 | 2015-07-26 |
| 1497138671 | Sleep and Sinus Centers of Nc Pllc | Otolaryngology | 10880 Durant Rd, Suite 124, Raleigh, NC 27614-6628 | 2015-07-07 |
| 1962752568 | Suzanne Hanks Blakeney | Physical Therapist | 10880 Durant Rd, Suite 312, Raleigh, NC 27614-6628 | 2012-09-12 |
| 1053600460 | Phuong-mai Jennifer Thi Vu | Internal Medicine | 10880 Durant Rd, Ste 100, Raleigh, NC 27614-6629 | 2011-04-06 |
| 1780822098 | Allergy Partners, Pllc | Allergy & Immunology | 10880 Durant Rd, Suite 200, Raleigh, NC 27614-6628 | 2009-01-23 |
| 1720247646 | Heather Rivera Gutekunst | Allergy & Immunology | 10880 Durant Rd, Suite 200, Raleigh, NC 27614-6628 | 2008-06-05 |
| 1083771653 | Priyanka Arora | Pediatrics | 10880 Durant Rd, Suite 215, Raleigh, NC 27614-6628 | 2007-01-03 |
| 1134281579 | Murray Anthony Cooper | Physical Therapist | 10880 Durant Rd, Suite312, Raleigh, NC 27614-6628 | 2006-12-14 |
| 1043395171 | Gurvinder K Deogun | Allergy & Immunology | 10880 Durant Rd, Suite 200, Raleigh, NC 27614-6628 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721395 | Jack Wei Lam | Anesthesiology | 3050 Duraleigh Rd Ste 201, Raleigh, NC 27612-5451 | 2008-05-29 |
| 1205032984 | Seung W. Kim | Anesthesiology | 7780 Brier Creek Pkwy, Suite 200, Raleigh, NC 27617-7869 | 2007-06-21 |
| 1184703332 | Robert D Wadley | Anesthesiology | 7780 Brier Creek Pkwy Ste 200, Raleigh, NC 27617-7869 | 2006-11-06 |
| 1558801076 | Wake Spine and Pain Specialists, PC | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2017-03-02 |
| 1255877171 | Interventional Pain Center, Pllc | Anesthesiology | 123 Sunnybrook Rd, Suite 130, Raleigh, NC 27610-2783 | 2017-01-17 |
| 1023381175 | Sk Pain Medicine, Pllc | Anesthesiology | 7780 Brier Creek Pkwy, Ste. 200, Raleigh, NC 27617-7849 | 2012-02-21 |
| 1386828754 | Nevin Mahendra Shrimanker | Anesthesiology | 4420 Lake Boone Trail, Critical Health Systems Office - Rex Hospital, Raleigh, NC 27607 | 2007-12-20 |
| 1891905287 | Vijaysinha Mandhare | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2007-05-23 |
| 1942367156 | Viren D. Desai | Anesthesiology | 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1356898720 | Ketamine Wellness Institute | Anesthesiology | 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 | 2016-09-02 |
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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.