WAKE SPECIALTY PHYSICIANS, LLC (NPI# 1619374261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374261 |
| Entity Type | Organization |
| Organization Name | WAKE SPECIALTY PHYSICIANS, LLC |
| Other Organization Name | WPP UROLOGY CARY |
| Practice Address |
218 Ashville Ave Cary NC 27518-6118 |
| Mailing Address |
2920 Highwoods Blvd Raleigh NC 27604-1015 |
| Practice Telephone | 9195762330 |
| Mailing Telephone | 9193500554 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | MARIA JAYOUSSI (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Telephone | 9193506089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WPP UROLOGY CARY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216253 | Wake Specialty Physicians, LLC | Pediatrics | 204 Medspring Dr, Clayton, NC 27520-9293 | 2019-07-12 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1811304678 | Wake Specialty Physicians, LLC | Durable Medical Equipment & Medical Supplies | 222 Ashville Ave Ste 10, Cary, NC 27518-6130 | 2014-07-14 |
| 1649686577 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 222 Ashville Ave Ste 20, Cary, NC 27518-6130 | 2014-07-11 |
| 1659934511 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-04-17 |
| 1922591049 | Wake Specialty Physicians, LLC | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-06-13 |
| 1861922775 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2017-06-13 |
| 1760861678 | Wake Specialty Physicians, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2015-05-26 |
| 1740680222 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-09-03 |
| 1447667209 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2014-07-14 |
| Street Address |
218 ASHVILLE AVE |
| City | CARY |
| State | NC |
| Zip Code | 27518-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903410 | Tamara L Link | Nurse Practitioner | 218 Ashville Ave, Suite 20, Cary, NC 27518-6118 | 2005-06-21 |
| 1770999369 | Kathryn Lynn Harrison | Dentist | 218 Ashville Ave, Suite 60, Cary, NC 27518-6118 | 2014-07-03 |
| 1104165109 | Jane R Holt Dds Pa | Dentist | 218 Ashville Ave, Suite 60, Cary, NC 27518-6118 | 2013-02-11 |
| 1053520486 | Dawn Priscilla Evancho | Physician Assistant | 218 Ashville Ave, Suite 20, Cary, NC 27518-6118 | 2007-05-22 |
| 1154461127 | David Paul Adams, M.d., P.a. | Non-Pharmacy Dispensing Site | 218 Ashville Ave, Suite 20, Cary, NC 27511-6118 | 2007-02-07 |
| 1538242813 | Jane Robinson Holt | Dentist | 218 Ashville Ave, Suite 30, Cary, NC 27511-6118 | 2006-10-23 |
| 1104909498 | Cynthia Ann Tyson | Dentist | 218 Ashville Ave, Suite 30, Cary, NC 27511-6118 | 2006-10-23 |
| 1083646657 | Brandon S Rubens | Urology | 218 Ashville Ave, Cary, NC 27518-6118 | 2006-07-06 |
| 1518936426 | Edward Julian Glaesner | Nurse Practitioner | 218 Ashville Ave, Suite 20, Cary, NC 27518-6118 | 2006-03-14 |
| 1396726394 | Scott Walker Lisson | Urology | 218 Ashville Ave, Cary, NC 27518-6118 | 2005-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982986055 | Associated Urologists of North Carolina Pa | Urology | 160 Macgregor Pines Drive, Suite 205, Cary, NC 27511-6037 | 2011-09-15 |
| 1003055211 | Bernard Stephen Lebenson | Urology | 2212 Upper Valley Ct, Cary, NC 27518-8931 | 2009-02-11 |
| 1578529962 | William Steel Kizer | Urology | 105 Sw Cary Pkwy Ste 300, Cary, NC 27511-5600 | 2006-04-25 |
| 1114914223 | Kevin P Perry | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2005-10-04 |
| 1780965004 | Associated Urologists of North Carolina Pa | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2011-08-31 |
| 1083646657 | Brandon S Rubens | Urology | 218 Ashville Ave, Cary, NC 27518-6118 | 2006-07-06 |
| 1033151212 | North Carolina Urological Associates, Inc | Urology | 160 Macgregor Pines Dr, Suite 205, Cary, NC 27511-6036 | 2006-06-12 |
| 1194765784 | Marc D Benevides | Urology | 160 Macgregor Pines Dr, Suite 205, Cary, NC 27511-6036 | 2006-06-08 |
| 1912975913 | Frank L Tortora | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511 | 2006-03-08 |
| 1811965825 | Kevin P Khoudary | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2006-03-08 |
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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.