WAKEMED SPECIALISTS GROUP, LLC (NPI# 1992360960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992360960 |
| Entity Type | Organization |
| Organization Name | WAKEMED SPECIALISTS GROUP, LLC |
| Other Organization Name | WAKEMED WAKE ORTHOPAEDICS |
| Practice Address |
400 Us Highway 70 E Ste 100 Garner NC 27529-4850 |
| Mailing Address |
Po Box 603949 Charlotte NC 28260-3949 |
| Practice Telephone | 9192325020 |
| Practice Fax Number | 9192325021 |
| Mailing Telephone | 9193500552 |
| Mailing Fax Number | 9193507687 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 9193506089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| WakeMed Wake Orthopaedics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681164 | Wakemed Specialists Group, LLC | Durable Medical Equipment & Medical Supplies | 2930 Forestville Rd Ste 100, Raleigh, NC 27616-8774 | 2019-10-24 |
| 1407409543 | Wakemed Specialists Group, LLC | Pediatrics | 104 Medspring Dr, Clayton, NC 27520-9687 | 2019-07-18 |
| 1114582301 | Wakemed Specialists Group, LLC | Physical Therapist | 10010 Falls of Neuse Rd Ste 9, Raleigh, NC 27614-8495 | 2019-05-03 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1326684077 | Wakemed Specialists Group, LLC | Clinic/Center | 811 Us 70 Hwy W, Garner, NC 27529-2541 | 2019-11-18 |
| 1013552322 | Wakemed Specialists Group, LLC | Clinic/Center | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 | 2019-11-11 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1184289159 | Wakemed Specialists Group, LLC | Clinic/Center | 222 Ashville Ave Ste 10, Cary, NC 27518-6130 | 2019-05-06 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1457916603 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2019-05-03 |
| Street Address |
400 US HIGHWAY 70 E STE 100 |
| City | GARNER |
| State | NC |
| Zip Code | 27529-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548634066 | Brooke Christine Owen | Physician Assistant | 400 Us Highway 70 E, Garner, NC 27529 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780079756 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1116 Us 70 Hwy W, Garner, NC 27529-2546 | 2015-04-06 |
| 1073740981 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5141 Nc Highway 42 W, Garner, NC 27529-8418 | 2009-06-18 |
| 1316184732 | Allcare Medical Supplies and Health Services LLC. | Durable Medical Equipment & Medical Supplies | 5176 Nc Highway 42 West, Suite H, Garner, NC 27529-8471 | 2009-01-08 |
| 1356593396 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12530 Cleveland Rd, Garner, NC 27529-7934 | 2008-10-22 |
| 1245431675 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 825 Timber Dr, Garner, NC 27529-4849 | 2007-05-31 |
| 1780739235 | Sheepless Nights, LLC | Durable Medical Equipment & Medical Supplies | 3236 Benson Rd, Suite C, Garner, NC 27529-7408 | 2007-01-24 |
| 1114028990 | Edc Drug Stores | Durable Medical Equipment & Medical Supplies | 245 Timber Drive West, Garner, NC 27529-4870 | 2006-09-26 |
| 1801995014 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1333 Fifth Avenue, Garner, NC 27529-3637 | 2006-09-22 |
| 1669571808 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2311 Timber Drive, Garner, NC 27529-2586 | 2006-09-22 |
| 1720181365 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5680 Nc 42 Hwy West, Garner, NC 27529 | 2006-09-07 |
| Find all providers in GARNER | ||||
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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.