Wake Surgical Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WAKE SURGICAL CENTER

Practice address

1101 Dresser CT
Raleigh, NC 27609-7327

Phone

(919) 876-2010

Fax

(919) 954-0555

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jerry A Stirman Jr.

Title

Managing Partner

Phone

(919) 876-2010

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Donald Scott Covington, MD

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1427058130
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386644698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097327",
            "telephone_number": "919-876-2010",
            "fax_number": "919-954-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097327",
            "telephone_number": "919-876-2010",
            "fax_number": "919-954-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STIRMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-876-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02870",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-02870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wake Specialty Physicians, LLC
• Wake Specialty Physicians, LLC
• Wake Spine and Pain Specialists, PC
• Wake Spine and Pain Specialists, PC
• Wake Spine and Specialty Surgery Center LLC
• Wake Teen Medical Services Inc.
• Wake Teen Medical Services Inc.
• Wake Transit
• Wake Transportation and Social Assistance Group, LLC
• Wake Urological Associates, P.a.

• Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.