Wakemed Primary Care Knightdale
LBN: Wake Specialty Physicians Llc
Wakemed Primary Care Knightdale is an health care organization with primary practice located at 901 Old Knight Rd , Knightdale NC 27545-9065. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Wake Specialty Physicians Llc can be contacted via phone (919) 266-6211, or through Jayoussi, Maria via phone (919) 350-6089.
Contact Information
Primary practice address
901 Old Knight Rd
Knightdale NC 27545-9065
Phone: (919) 266-6211
Fax: (919) 350-9824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1225449168 |
|---|---|
| LBN Legal business name | Wake Specialty Physicians Llc |
| DBA Doing business as | Wakemed Primary Care Knightdale |
| Authorized official | Jayoussi, Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Aug 8th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225449168 | NPPES |
| North Carolina | MEDICAID | 1225449168 |
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