WAKE PET LLC


Address: 210 Ashevill Avenue, Suite 100, Cary, NC 27618
Phone: 9193508000

WAKE PET LLC (NPI# 1770182933) 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) 1770182933
Entity Type Organization
Organization Name WAKE PET LLC
Practice Address 210 Ashevill Avenue
Suite 100
Cary
NC 27618
Practice Telephone 9193508000
Enumeration Date 2020-10-20
Last Update Date 2020-10-21
Authorized Official Name STEPHANIE SESSOMS (VP OF FINANCE)
Authorized Official Telephone 9193500522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085N0904X Radiology
Specialization: Nuclear Radiology
Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 210 ASHEVILL AVENUE
SUITE 100
City CARY
State NC
Zip Code 27618

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1053918961 Tiana C Lanier-cherry Marriage & Family Therapist 628 Preston Grove Ave, Cary, NC 27513-8464 2020-10-04
1801403076 Iryna Vasilij Baumgartl Nurse Practitioner 8212 Ovation Dr, Cary, NC 27513-2644 2020-09-30
1477160950 Michaela Juliana Occupational Therapist 104 Ripley Ct, Cary, NC 27513-5121 2020-09-28
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568023190 Bay Imaging Consultants Medical Group Inc Radiology 1226 Brickfield Dr., Cary, NC 27519 2019-06-25
1578796223 North Carolina Telerad LLC Radiology 112 Bighorn Cir, Cary, NC 27513-4849 2009-08-28
1710991880 Bertrand W Schlam Radiology 301 Greyfriars Ln, Cary, NC 27518-8642 2006-07-27
1871513234 Stephen P Loehr Radiology 2501 Weston Pkwy, Cary, NC 27513-5598 2006-07-20
1316904790 Cynthia Caskey Oberfelder Radiology 104 Beech Slope Way, Cary, NC 27518-8995 2006-04-28
1306202296 Flexogenix North Carolina PC Radiology 400 Ashville Ave, Suite 330, Cary, NC 27518-6134 2016-01-07
1780097618 Duke University Health System Inc Radiology 3700 Nw Cary Pkwy, Suite 120 Room 120, Cary, NC 27513-8446 2014-06-09
1750701082 Duke University Health System, Inc. Radiology 3700 Nw Cary Pkwy, Suite 120 Room 110, Cary, NC 27513-8446 2014-04-25
1578993556 Flexogenix, Inc. Radiology 930 Se Cary Pkwy, Suite 100, Cary, NC 27518-7419 2013-11-12
1639310295 Cape Fear Diagnostic Imaging LLC Radiology 3700 Nw Cary Pkwy, Suite 120, Cary, NC 27513-8446 2009-03-11
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City CARY
Zip Code 27618

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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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