Wake Forest Urgent Care, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

24323 Issued in NC

Legal business name

WAKE FOREST URGENT CARE, PLLC

Practice address

2115 S Main St
Suite a
Wake Forest, NC 27587-5011

Phone

(919) 570-2000

Fax

(919) 570-2001

NPI assigned

Apr 7, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Gilmer Clark, M.D.NPI 1528047503

Title

MD/Manager

Phone

(919) 570-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Gilmer Clark, MD

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1528047503
  Authorized official Same address or phone

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1326001850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 S MAIN ST STE A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875011",
            "telephone_number": "919-570-2000",
            "fax_number": "919-570-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S MAIN ST",
            "address_2": "SUITE A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875011",
            "telephone_number": "919-570-2000",
            "fax_number": "919-570-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GILMER",
        "authorized_official_title_or_position": "MD/MANAGER",
        "authorized_official_telephone_number": "919-570-2000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "24323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wake Forest Peace of Mind, PLLC
• Wake Forest Pediatric Associates, PLLC
• Wake Forest Performance and Rehab
• Wake Forest Physical Therapy (Elite Ortho Physical Therapy)
• Wake Forest Speech Therapy
• Wake Heart and Vascular Associates P.a.
• Wake Skin Cancer Center, PA
• Wake Specialty Physicians (WakeMed MyCare 365 Primary & Urgent Care Wake Forest)
• Wake Specialty Physicians LLC (WakeMed Primary Care Wake Forest)
• Wake Specialty Physicians LLC (WakeMed MyCare 365 Primary & Urgent Care Wake Forest)

• Clinic/Center in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.