Wakemed Pediatric Gastroenterology

LBN: Wake Specialty Physicians, Llc
Wakemed Pediatric Gastroenterology is an health care organization with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. Wake Specialty Physicians, Llc can be contacted via phone (919) 235-6435, or through Jayoussi, Maria via phone (919) 350-6089.

Contact Information

Primary practice address
23 Sunnybrook Rd Raleigh NC 27610-1855
Phone: (919) 235-6435
Fax: (919) 231-0314
Website:
Map and Directions
Authorized official contact:
Name: Jayoussi, Maria
Phone: (919) 350-6089

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X

Profile Details

NPI number 1740680222
LBN Legal business name Wake Specialty Physicians, Llc
DBA Doing business as Wakemed Pediatric Gastroenterology
Authorized official Jayoussi, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2014
Last updated Sep 12th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740680222 NPPES
North Carolina MEDICAID 1942440375

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