Wake Ear Nose and Throat Specialists PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

WAKE EAR NOSE AND THROAT SPECIALISTS PLLC

Practice address

115 Parkway Office CT Ste 201
Cary, NC 27518-7431

Phone

(919) 851-5636

Fax

(919) 851-7247

NPI assigned

Feb 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj Gupta, MDNPI 1306880992

Title

Owner/Ceo

Phone

(919) 943-9287

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pankaj Gupta, MD

  • Otolaryngology Physician
  • Durham, NC
  • NPI 1306880992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1194047340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187431",
            "telephone_number": "919-851-5636",
            "fax_number": "919-851-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187431",
            "telephone_number": "919-851-5636",
            "fax_number": "919-851-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Carthage St # A",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308984",
            "country_code": "US",
            "telephone_number": "919-774-6829",
            "fax_number": "919-776-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAKE EAR NOSE AND THROAT SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-943-9287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "2023442B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurtis Philip Wagoner, RBT
• Meghan Wagstaff, DDS
• Maenette Wahrenburg
• Karen Natasha Waithera
• Wake County Public School System
• Wake Emergency Physicians PA
• Wake Emergency Physicians PA
• Wake Endoscopy Center - Cary, LLC
• Wake Endoscopy Center, LLC
• Wake Family Eye Care OD, PA

• Otolaryngology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.