Wakemed Physician Practices Pediatric Weight Management
LBN: Wake Specialty Physicians Llc
Wakemed Physician Practices Pediatric Weight Management is an health care organization with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is the primary health care specialty.
Wake Specialty Physicians Llc can be contacted via phone (919) 350-6439, or through Jayoussi, Maria via phone (919) 350-6089.
Contact Information
Primary practice address
23 Sunnybrook Rd
Raleigh NC 27610-1855
Phone: (919) 350-6439
Fax: (919) 231-0314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | North Carolina | |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2080B0002X | North Carolina |
Profile Details
| NPI number | 1710434691 |
|---|---|
| LBN Legal business name | Wake Specialty Physicians Llc |
| DBA Doing business as | Wakemed Physician Practices Pediatric Weight Management |
| Authorized official | Jayoussi, Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2016 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1710434691 | NPPES |
| North Carolina | MEDICAID | 1942440373 |
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