WAKEMED (NPI# 1659987170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659987170 |
| Entity Type | Organization |
| Organization Name | WAKEMED |
| Practice Address |
Wakemed Raleigh Reference 3000 New Bern Avenue Raleigh NC 27610-1295 |
| Mailing Address |
Po Box 602368 Charlotte NC 28260-2368 |
| Practice Telephone | 9193508000 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | TERENCE FLYNN (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9193500534 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKEMED HEALTH & HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| WakeMed Raleigh Reference | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053488346 | Wakemed | Ambulance | 1 Sunnybrook Rd, Raleigh, NC 27610-1807 | 2006-11-29 |
| 1124094008 | Wakemed | Skilled Nursing Facility | 400 W Ransom St, Fuquay Varina, NC 27526-2434 | 2006-02-28 |
| 1366418246 | Wakemed | Skilled Nursing Facility | 535 W Gannon Ave, Zebulon, NC 27597-2599 | 2006-02-28 |
| 1114993086 | Wakemed | General Acute Care Hospital | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2006-02-28 |
| 1982210746 | Wakemed | Clinical Medical Laboratory | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2020-09-17 |
| 1912446709 | Wakemed | Pharmacy | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2017-02-14 |
| 1194907717 | Wakemed | Family Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2007-12-05 |
| 1285665521 | Wakemed | Pharmacy | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-07-05 |
| 1790752236 | Wakemed | Rehabilitation Unit | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-03-03 |
| 1972579837 | Wakemed | Medicare Defined Swing Bed Unit | 3000 New Bern Ave, Raleigh, NC 27610-1295 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKEMED HEALTH AND HOSPITALS | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 |
| North Carolina Corporations | Wakemed Property Services | 3000 New Bern Ave, Raleigh, NC 27610-1295 |
| North Carolina Corporations | WakeMed Specialists Group LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| Street Address |
WAKEMED RALEIGH REFERENCE 3000 NEW BERN AVENUE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1295 |
| 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 Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1619481488 | Sailabllc | Clinical Medical Laboratory | 3813 Junction Blvd, Raleigh, NC 27603-5264 | 2017-11-30 |
| 1134538713 | Mako Medical Laboratories, LLC | Clinical Medical Laboratory | 8461 Garvey Dr, Raleigh, NC 27616-3176 | 2014-08-07 |
| 1275872905 | Unc Physicians Network Group Practices, LLC | Clinical Medical Laboratory | 8300 Health Park Dr., Suite #320, Raleigh, NC 27615-4731 | 2013-01-31 |
| 1598088239 | Consortia Laboratories, Inc. | Clinical Medical Laboratory | 9417 Collingdale Way, Raleigh, NC 27617-5913 | 2010-03-09 |
| 1265685705 | Millennium Laboratory Corporation | Clinical Medical Laboratory | 3362 Six Forks Rd, Raleigh, NC 27609-7233 | 2008-10-28 |
| 1639299357 | Care One Nursing Service Inc | Clinical Medical Laboratory | 331 Tryon Rd, Suite 101, Raleigh, NC 27603-3571 | 2007-03-29 |
| 1235290651 | North Carolina State Laboratory of Public Health | Clinical Medical Laboratory | 4312 District Dr, Raleigh, NC 27607-5490 | 2006-12-12 |
| 1053396705 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8300 Health Park, Ste 223, Raleigh, NC 27615-4730 | 2005-12-14 |
| 1194700583 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2005-12-08 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on WAKEMED.
| 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.