WAKE SPECIALTY PHYSICIANS LLC


Address: 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231
Phone: 9193507600

WAKE SPECIALTY PHYSICIANS LLC (NPI# 1841713187) 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) 1841713187
Entity Type Organization
Organization Name WAKE SPECIALTY PHYSICIANS LLC
Other Organization Name WAKEMED H&V ADVANCED HEART FAILURE
Practice Address 3000 New Bern Ave Ste 1200
Raleigh
NC 27610-1231
Mailing Address Po Box 602195
Charlotte
NC 28260-2195
Practice Telephone 9193507600
Practice Fax Number 9193508333
Mailing Telephone 9193500552
Mailing Fax Number 9193507687
Enumeration Date 2017-07-19
Last Update Date 2017-10-25
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 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1942440375 05

Other Provider/Organization Names

Other Name Type Code
WakeMed H&V Advanced Heart Failure 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
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
1912478496 Wake Specialty Physicians LLC Surgery 530 New Waverly Pl, Cary, NC 27518-7414 2018-12-10

Office Location

Street Address 3000 NEW BERN AVE STE 1200
City RALEIGH
State NC
Zip Code 27610-1231

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437713914 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-04-30
1194259432 Rex Hospital Inc Internal Medicine 2800 Blue Ridge Road, Suite 204, Raleigh, NC 27607-6477 2017-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487268512 Fawaz Abdulaziz M Alenezi Internal Medicine 2301 Erwin Rd, Durham, NC 27705-4699 2020-09-05
1457695264 The Presbyterian Hospital Internal Medicine 1718 E 4th St, Suite 501, Charlotte, NC 28204-3197 2012-11-16
1497047633 Nicole Cyrille-superville Internal Medicine 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 2011-05-06
1891016556 Rachel Garcia Internal Medicine 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 2010-06-17
1104154723 Mission Medical Associates Inc Internal Medicine 691 Blythe Street Ct, Hendersonville, NC 28739 2009-11-19
1205061678 John Rommel Internal Medicine 1415 Physicians Dr, Wilmington, NC 28401-7338 2009-05-28
1083858047 Priyesh Patel Internal Medicine 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 2009-04-21
1376692640 Joseph Mishkin Internal Medicine 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2007-01-09
1942211164 Theodore Frank Internal Medicine 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2006-08-11
1578574638 Sanjeev Gulati Internal Medicine 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2006-08-11
Find all providers with the same taxonomy

Competitor

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City RALEIGH
Zip Code 27610

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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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