Individual provider Active NPI

Wayne Alan Psek

  • General Practice Physician
  • Chapel Hill, NC
National Provider Identifier
1174851604
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4390659 Issued in ZZ
Practice address
1101 McGavran-Greenberg Hall, CB#7411
135 Dauer Dr.
Chapel Hill, NC 27599-7411
Phone
(919) 923-8478
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4390659 ZZ Primary

Addresses

Primary practice location

1101 McGavran-Greenberg Hall, CB#7411
135 Dauer Dr.
Chapel Hill, NC 27599-7411

Mailing address

1101 McGavran-Greenberg Hall, CB#7411
135 Dauer Dr.
Chapel Hill, NC 27599-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4390659ZZMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1174851604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MCGAVRAN-GREENBERG HALL, CB#7411",
            "address_2": "135 DAUER DR.",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MCGAVRAN-GREENBERG HALL, CB#7411",
            "address_2": "135 DAUER DR.",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997411",
            "telephone_number": "919-923-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSEK",
        "first_name": "WAYNE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "4390659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.