WAKEMED SPECIALISTS GROUP LLC


Address: 300 Keisler Dr, Cary, NC 27518-7083
Phone: 9192330059

WAKEMED SPECIALISTS GROUP LLC (NPI# 1811522089) 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) 1811522089
Entity Type Organization
Organization Name WAKEMED SPECIALISTS GROUP LLC
Practice Address 300 Keisler Dr
Cary
NC 27518-7083
Mailing Address Po Box 603949
Charlotte
NC 28260-3949
Practice Telephone 9192330059
Practice Fax Number 9192330343
Mailing Telephone 9193500552
Mailing Fax Number 9193507687
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Authorized Official Name MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE)
Authorized Official Telephone 9193506089
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
WakeMed Cary Cardiology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497307334 Wakemed Specialists Group LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-07-11
1790343366 Wakemed Specialists Group LLC Pediatrics 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-30
1225693419 Wakemed Specialists Group LLC Surgery 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1417512690 Wakemed Specialists Group LLC Orthopaedic Surgery 3009 New Bern Ave, Raleigh, NC 27610-1214 2019-05-03
1205491487 Wakemed Specialists Group LLC Urology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1205491495 Wakemed Specialists Group LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-05-03
1386209633 Wakemed Specialists Group LLC Clinic/Center 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 2019-05-02
1073178398 Wakemed Specialists Group LLC Internal Medicine 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
1255995643 Wakemed Specialists Group LLC Family Medicine 2820 Kidd Rd, Raleigh, NC 27610-1842 2019-05-01

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations WakeMed Specialists Group LLC 3000 New Bern Avenue, Raleigh, NC 27610

Office Location

Street Address 300 KEISLER DR
City CARY
State NC
Zip Code 27518-7083

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679561369 Priyavadan Maneklal Shah Internal Medicine 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 2005-10-07
1073121265 Laiby Boban Nurse Practitioner 300 Keisler Dr, Cary, NC 27518-7083 2020-07-14
1104200815 Heather Santori Nurse Practitioner 300 Keisler Dr, Cary, NC 27518-7083 2015-07-13
1558772574 Wake Specialty Physicians,llc Internal Medicine 300 Keisler Dr, Cary, NC 27518-7083 2014-05-13
1891130415 Sarah Willis Tiesing Nurse Practitioner 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 2013-05-09
1053559641 Michelle Lyn Kuerbitz Nurse Practitioner 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 2009-02-04
1255578415 Cary Cardiology Associates Non-Pharmacy Dispensing Site 300 Keisler Dr, 200, Cary, NC 27518-7083 2009-01-09
1316101876 Wake Plastic Surgery, Pllc Clinic/Center 300 Keisler Dr, Suite 102, Cary, NC 27518-7083 2008-07-14
1629240395 Pavlo I Netrebko Internal Medicine 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 2008-04-02
1477734077 William Todd Stoeckel Plastic Surgery 300 Keisler Dr, Suite 102, Cary, NC 27518-7083 2007-11-25
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932505294 Donald Frederick Fortin Internal Medicine 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 2014-11-14
1235366634 Kamal Kumar Padmanabhan Kolappa Internal Medicine 7560 Carpenter Fire Station Rd, Cary, NC 27519-8616 2009-06-12
1740364447 Alison Arnold Internal Medicine 402 Panorama Park Pl, Cary, NC 27519-0857 2006-10-25
1679561369 Priyavadan Maneklal Shah Internal Medicine 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 2005-10-07
1790208981 Triangle Cardiology, Pllc Internal Medicine 7560 Carpenter Fire Station Rd, Cary, NC 27519-8616 2017-07-20
1558772574 Wake Specialty Physicians,llc Internal Medicine 300 Keisler Dr, Cary, NC 27518-7083 2014-05-13
1629240395 Pavlo I Netrebko Internal Medicine 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 2008-04-02
1013940295 Private Diagnostic Clinic, Pllc Internal Medicine 3700 Nw Cary Pkwy, Suite 100, Cary, NC 27513-8446 2006-07-09
1780661033 Joshua C Macomber Internal Medicine 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 2005-12-28
1982681417 Bhavani Balaravi Internal Medicine 300 Ashville Ave, Suite 301, Cary, NC 27518-8682 2005-12-27
Find all providers in CARY

Competitor

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City CARY
Zip Code 27518

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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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