Wakemed Primary Care Wake Forest
LBN: Wake Specialty Physicians Llc
Wakemed Primary Care Wake Forest is an health care organization with primary practice located at 11640 Northpark Dr , Wake Forest NC 27587-5741. 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) 235-6540, or through Jayoussi, Maria via phone (919) 350-6089.
Contact Information
Primary practice address
11640 Northpark Dr
Wake Forest NC 27587-5741
Phone: (919) 235-6540
Fax: (919) 235-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1225684004 |
|---|---|
| LBN Legal business name | Wake Specialty Physicians Llc |
| DBA Doing business as | Wakemed Primary Care Wake Forest |
| Authorized official | Jayoussi, Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Oct 16th, 2019 - about 5 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 | 1225684004 | NPPES |
| North Carolina | MEDICAID | 1225684004 |
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