Active NPI
Raymond Edward Wase Jr., MD
- Emergency Medicine Physician
- Durham, NC
National Provider Identifier
1215074802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20082
- Practice address
- 1901 Hillandale Rd
Suite D
Durham, NC 27705-2664 - Phone
- (919) 383-4355
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20082 | NC | Primary |
Addresses
Primary practice location
1901 Hillandale Rd
Suite D
Durham, NC 27705-2664
Mailing address
1907 Old London Way
Cary, NC 27513
Phone (919) 466-9050
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20082 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Centers of Carolina, Inc. | Past | Accepting new patients | |
| Emergency Medicine Physicians of Carteret County, PLLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Morehead City, NC
- NPI 1538108535
-
- Urgent Care Clinic/Center
- Burlington, NC
- NPI 1235214123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257033600000",
"number": "1215074802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 OLD LONDON WAY",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-466-9050",
"fax_number": "919-466-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HILLANDALE RD",
"address_2": "SUITE D",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052664",
"telephone_number": "919-383-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASE",
"first_name": "RAYMOND",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2009-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "20082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.