WAKEMED (NPI# 1972579837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972579837 |
| Entity Type | Organization |
| Organization Name | WAKEMED |
| Other Organization Name | WAKEMED RALEIGH CAMPUS |
| Practice Address |
3000 New Bern Ave Raleigh NC 27610-1295 |
| Practice Telephone | 9193508000 |
| Mailing Telephone | 9193508000 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | MR. RICK CARRICO (EXECUTIVE VP, FINANCE & CFO) |
| Authorized Official Telephone | 9193508000 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKEMED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| Y | 282N00000X | General Acute Care Hospital | H0199 | NC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER NUMBER | 002C9 | 01 |
| NC | 3400069E | 05 | |
| NC | CHAMPUS | 009 | 01 |
| NC | BLUE CROSS | 00356 | 01 |
| NC | 3400069A | 05 | |
| NY | 3400069F | 05 | |
| NC | CHAMPUS | 003 | 01 |
| NC | CHAMPUS | 011 | 01 |
| NC | 3400069 | 05 | |
| NC | BLUE CROSS | 00361 | 01 |
| Other Name | Type Code |
|---|---|
| WakeMed Raleigh Campus | 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 |
| 1790752236 | Wakemed | Rehabilitation Unit | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-03-03 |
| 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 | 27610-1295 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346683844 | Unc Health Care | General Acute Care Hospital | 8425 Central Dr, Raleigh, NC 27613-8588 | 2013-04-15 |
| 1982995106 | Charmaine Rhodes | General Acute Care Hospital | 3040 Walnut Creek Pkwy Apt G, Raleigh, NC 27606-3804 | 2011-04-21 |
| 1386952893 | Va Medical Center | General Acute Care Hospital | 6208 Krandon Drive, Raleigh, NC 27603-4928 | 2010-09-17 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1538363072 | Duke University Medical Center | General Acute Care Hospital | 7618 Winners Edge St, Raleigh, NC 27617-1928 | 2007-06-11 |
| 1013916352 | Duke University Health System Inc | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2005-07-19 |
| 1063691657 | Karen Sorio Mcgowan | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2007-10-31 |
| 1811181407 | Guardian Angel Healthcare Inc., II | General Acute Care Hospital | 347 Magnolia Dr, Raleigh, MS 39153 | 2007-08-28 |
| 1013137199 | Wakemed Health & Hospitals | General Acute Care Hospital | 3000 New Bern Ave, Office of The Chief Medical Officer, Raleigh, NC 27610-1231 | 2007-04-30 |
| 1316164254 | Dorothea Dix Hospital | General Acute Care Hospital | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-20 |
| Find all providers in RALEIGH | ||||
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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.