Wake Specialty Physicians, Llc
Pediatric Gastroenterology
Wake Specialty Physicians, Llc is a Raleigh, North Carolina based Pediatric center with medical specialization in
Pediatric Gastroenterology. Wake Specialty Physicians, Llc is doing business as
Wakemed Pediatric Gastroenterology.
It is located at
23 Sunnybrook Rd, Raleigh, North Carolina - 27610-1855. They can be contacted on phone at
919-235-6435 and fax number 919-231-0314.
NPI number (Unique professional ID) for Wake Specialty Physicians, Llc is
1740680222 which was assigned by NPPES on 03 Sep, 2014 and it was last updated on 12 Sep, 2016.
Wake Specialty Physicians, Llc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Wake Specialty Physicians, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Wake Specialty Physicians, Llc |
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| Other Name : | Wakemed Pediatric Gastroenterology |
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Business Address:
Wake Specialty Physicians, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 23 Sunnybrook Rd
Raleigh, NC, 27610-1855
United States |
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| Phone Number : | 919-235-6435 |
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| Fax Number : | 919-231-0314 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740680222 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Sep, 2014 |
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| Last Updated On : | 12 Sep, 2016 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Maria Jayoussi |
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| Official Title or Position : | EXECUTIVE DIRECTOR FINANCE |
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| Phone Number : | 919-350-6089 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wake Specialty Physicians, Llc are as mentioned. Primary taxonomy code for Wake Specialty Physicians, Llc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Wake Specialty Physicians, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1942440375 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 602195
Charlotte, NC, 28260-2195
United States |
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| Phone Number : | 919-350-0554 |
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Business Location:
Patients can refer following map for directions to
Wake Specialty Physicians, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.