WAKEMED (NPI# 1790752236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790752236 |
| Entity Type | Organization |
| Organization Name | WAKEMED |
| Other Organization Name | WAKEMED RALEIGH CAMPUS REHABILITATION UNIT |
| Practice Address |
3000 New Bern Ave Raleigh NC 27610-1231 |
| Practice Telephone | 9193507876 |
| Mailing Telephone | 9193507876 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | MR. MICHAEL D DEVAUGHN (SR. VP OF FINANCE AND CFO) |
| Authorized Official Telephone | 9193508000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKEMED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | H0199 | NC | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CHAMPUS | 010 | 01 |
| NC | BLUE CROSS | 00047 | 01 |
| NC | 3400069T | 05 |
| Other Name | Type Code |
|---|---|
| WakeMed Raleigh Campus Rehabilitation Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 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 |
| 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 |
| North Carolina Corporations | WakeMed Surgery Center-North Raleigh LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| North Carolina Corporations | WakeMed Surgical Ventures LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| Street Address |
3000 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
| 1811507700 | Erika Barbosa Richard | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-05 |
| 1790395846 | Dana Sroka Thomson | Physical Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-04 |
| 1477163756 | Sarah Anne Schwisow | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-03 |
| 1831708486 | Andrew Yoon | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-07-29 |
| 1770104622 | Sonya Zaghloul | Speech-Language Pathologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-05-01 |
| 1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
| 1326674789 | Thomas Mellette | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-18 |
| 1457986234 | Rose Meitzen | Nurse Practitioner | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-11 |
| 1932733847 | Olga Sushkevich | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-02-29 |
| Find all providers in the same location | ||||
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578916003 | Executive Medical Transportation, Ltd | Rehabilitation Unit | 222 Mill Creek Rd, Pollocksville, NC 28573-9312 | 2016-07-20 |
| 1043528763 | Aware Physical Therapy,llc | Rehabilitation Unit | 2803 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2010-09-15 |
| 1952624512 | Strump Chiropractic and Health | Rehabilitation Unit | 2102 Cambridge Beltway Dr, Ste. D1, Charlotte, NC 28273-3381 | 2010-03-10 |
| 1952359036 | Nash Hospitals Inc | Rehabilitation Unit | 2400 Medpark Dr, Rocky Mount, NC 27804 | 2006-05-04 |
| 1962987131 | The Charlotte-mecklenburg Hospital Authority | Rehabilitation Unit | 10648 Park Rd, Charlotte, NC 28210-8407 | 2018-10-03 |
| 1205225646 | Duke University Health System Inc | Rehabilitation Unit | 5213 S Alston Ave, Durham, NC 27713-4430 | 2015-01-22 |
| 1003248709 | Mercy Hospital, Inc. | Rehabilitation Unit | 10648 Park Rd, Charlotte, NC 28210-8407 | 2013-08-05 |
| 1255675252 | Mission Hospitals | Rehabilitation Unit | 61 Bingham Rd Apt 30a, Asheville, NC 28806-3855 | 2012-11-15 |
| 1093099582 | Dlp Maria Parham Medical Center LLC | Rehabilitation Unit | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2011-10-03 |
| 1942439872 | Eileen Riehman Pt, LLC | Rehabilitation Unit | 200 Asheland Ave, Suite 200, Asheville, NC 28801-4016 | 2009-07-13 |
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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.