Wake Specialty Physicians, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WAKE SPECIALTY PHYSICIANS, LLC

Doing business as

Wake Orthopaedics

Practice address

120 Healthplex Way Ste 206
Apex, NC 27502-8403

Phone

(919) 232-5020

Fax

(919) 232-5021

NPI assigned

Aug 31, 2018

Organization subpart

No

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

Authorized official

Name

Maria Jayoussi

Title

Executive Director of Finance

Phone

(919) 350-6089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wake Orthopaedics Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wakemed

  dba WakeMed Professional Physicians Staff

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1194907717

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1346722865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-0552",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTHPLEX WAY STE 206",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028403",
            "telephone_number": "919-232-5020",
            "fax_number": "919-232-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE SPECIALTY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "JAYOUSSI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "919-350-6089"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942440375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wake Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wake Emergency Physicians PA
• Wake Heart and Vascular Associates P.a.
• Wake Specialty Physicians LLC (WakeMed Physician Practices Physical Therapy)
• Wake Specialty Physicians LLC (WakeMed Primary Care Cambridge Apex)
• Wake Specialty Physicians, LLC (WakeMed Physician Practices Primary Care Apex)
• Wakemed Specialists Group, LLC
• Wal-Mart Stores East LP (WalMart Pharmacy 10-3889)
• Wal-Mart Stores East, LP (Vision Center 30-3889)
• Karen Byrns Waldman, OTR
• Walgreen Co (Walgreens #07365)

• Orthopaedic Surgery Physician in Apex, NC
• Providers in Apex, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.