WAKE SPECIALTY PHYSICIANS LLC


Address: 10010 Falls of Neuse Rd, Suite 009, Raleigh, NC 27614-8495
Phone: 9193501508

WAKE SPECIALTY PHYSICIANS LLC (NPI# 1629437710) 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) 1629437710
Entity Type Organization
Organization Name WAKE SPECIALTY PHYSICIANS LLC
Other Organization Name WAKEMED PHYSICIAN PRACTICES PHYSICAL THERAPY
Practice Address 10010 Falls of Neuse Rd
Suite 009
Raleigh
NC 27614-8495
Mailing Address Po Box 602195
Charlotte
NC 28260-2195
Practice Telephone 9193501508
Practice Fax Number 9193501475
Mailing Telephone 9193500552
Mailing Fax Number 9193507687
Enumeration Date 2016-02-17
Last Update Date 2016-05-19
Authorized Official Name MARIA JAYOUSSI (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9193506089
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC DME PTAN 7108950010 01

Other Provider/Organization Names

Other Name Type Code
WakeMed Physician Practices Physical Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225684004 Wake Specialty Physicians LLC Internal Medicine 11640 Northpark Dr, Wake Forest, NC 27587-5741 2019-08-16
1841713187 Wake Specialty Physicians LLC Internal Medicine 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 2017-07-19
1740702497 Wake Specialty Physicians LLC Internal Medicine 101 Cotten Ln, Holly Springs, NC 27540-8415 2017-07-14
1407267347 Wake Specialty Physicians LLC Family Medicine 3020 New Bern Ave, Raleigh, NC 27610-1215 2014-05-14
1225449168 Wake Specialty Physicians LLC Internal Medicine 901 Old Knight Rd, Knightdale, NC 27545-9065 2014-05-14
1699186619 Wake Specialty Physicians LLC Family Medicine 150 E Davie St, Raleigh, NC 27601-1806 2014-05-13
1346501673 Wake Specialty Physicians LLC Internal Medicine 400 Us Highway 70 East, Garner, NC 27529-4049 2012-06-04
1427604149 Wake Specialty Physicians LLC Family Medicine 7560 Carpenter Fire Station Rd, Cary, NC 27519-9637 2019-08-19
1871052597 Wake Specialty Physicians LLC Internal Medicine 222 Ashville Ave, Cary, NC 27518-6130 2019-03-13
1649741950 Wake Specialty Physicians LLC Otolaryngology 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2018-12-13

Office Location

Street Address 10010 FALLS OF NEUSE RD
SUITE 009
City RALEIGH
State NC
Zip Code 27614-8495

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972575934 Inam Rashid Family Medicine 10010 Falls of Neuse Rd, Suite 103, Raleigh, NC 27614-8494 2006-02-03
1164059036 Stephanie Schwarz Baker Physical Therapist 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2020-03-23
1861030108 Katherine Celeste Brewer Occupational Therapist 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-12-17
1659936839 Wakemed Specialists Group, LLC Otolaryngology 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-03
1073178398 Wakemed Specialists Group LLC Internal Medicine 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-02
1598320830 Wakemed Specialists Group, LLC Obstetrics & Gynecology 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-02
1174188494 Wakemed Specialists Group, LLC Occupational Therapist 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
1013571405 Wakemed Specialists Group, LLC Pediatrics 10010 Falls of Neuse Rd, Raleigh, NC 27614-8495 2019-05-01
1063076453 Wakemed Specialists Group LLC Obstetrics & Gynecology 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-01
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306445648 Good Hope Medical Supply LLC Durable Medical Equipment & Medical Supplies 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 2020-10-19
1518573468 Joemax Healthcare Services LLC Durable Medical Equipment & Medical Supplies 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 2020-09-16
1265059398 Tiara Hyman Durable Medical Equipment & Medical Supplies 10040 Pineville Rd, Raleigh, NC 27617-6310 2020-07-06
1265055099 Best American Medical Supplies LLC Durable Medical Equipment & Medical Supplies 1100 Navaho Dr Ste 121, Raleigh, NC 27609-7364 2020-05-27
1619516978 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 417 W Peace St Ste 100, Raleigh, NC 27603-5017 2020-01-03
1205471521 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 500 Oberlin Rd, Raleigh, NC 27605-1318 2019-11-11
1326681164 Wakemed Specialists Group, LLC Durable Medical Equipment & Medical Supplies 2930 Forestville Rd Ste 100, Raleigh, NC 27616-8774 2019-10-24
1558820266 Active Healthcare, Inc. Durable Medical Equipment & Medical Supplies 9104 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-2494 2019-03-13
1912465311 Shivag Diabetic Shoes and Orthotics LLC Durable Medical Equipment & Medical Supplies 3113 Brentwood Rd, Raleigh, NC 27604-2425 2019-03-05
1992273312 Theramed Equipment and Supplies LLC Durable Medical Equipment & Medical Supplies 5720 Capital Blvd Ste G, Raleigh, NC 27616-2953 2018-11-03
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Competitor

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City RALEIGH
Zip Code 27614

Improve Information

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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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