Wakemed Physician Practices Urogynecology

LBN: Wake Specialty Physicians, Llc
Wakemed Physician Practices Urogynecology is an health care organization with primary practice located at 10010 Falls Of Neuse Rd , Raleigh NC 27614-8494. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as the primary health care specialty. Wake Specialty Physicians, Llc can be contacted via phone (919) 350-1380, or through Jayoussi, Maria via phone (919) 350-6089.

Contact Information

Primary practice address
10010 Falls Of Neuse Rd Raleigh NC 27614-8494
Phone: (919) 350-1380
Fax: (919) 556-0124
Website:
Map and Directions
Authorized official contact:
Name: Jayoussi, Maria
Phone: (919) 350-6089

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X

Profile Details

NPI number 1760861678
LBN Legal business name Wake Specialty Physicians, Llc
DBA Doing business as Wakemed Physician Practices Urogynecology
Authorized official Jayoussi, Maria
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2015
Last updated Mar 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760861678 NPPES
North Carolina MEDICAID 1942440375

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