Active NPI
Wake Med
- Specialist
- Raleigh, NC
National Provider Identifier
1295855054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9400607
- Legal business name
- WAKE MED
- Practice address
- 3406 Six Forks Rd
Raleigh, NC 27609-7234 - Phone
- (919) 881-7770
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ylonda S Hicks
- Title
- Billing Coordinator
- Phone
- (919) 881-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9400607 | NC | Primary |
Addresses
Primary practice location
3406 Six Forks Rd
Raleigh, NC 27609-7234
Mailing address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Heart Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1801166459
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295855054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101231",
"telephone_number": "919-350-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097234",
"telephone_number": "919-881-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKE MED",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "YLONDA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "919-881-7770"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "9400607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Home Care, LLC
- Wake Internal Medicine Consultants, Inc.
- Wake Lymphedema and Wellness
- Wake Medical Associates, P.a.
- Wake Medical Laboratory Consultants Inc
- Wake Medical Supply LLC
- Wake Nephrology Associates, P.a.
- Wake Orthopaedics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.