Wakefield Medical Specialty Services Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

WAKEFIELD MEDICAL SPECIALTY SERVICES INC

Practice address

123 Capcom Ave Ste 3
Wake Forest, NC 27587-6517

Phone

(919) 570-5277

Fax

(919) 570-5377

NPI assigned

Mar 31, 2009

Last updated

Sep 14, 2016By 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

Mrs. Ashley Shearin

Title

Owner

Phone

(919) 570-5277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1417199811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CAPCOM AVE",
            "address_2": "SUITE 3",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876517",
            "telephone_number": "919-570-5277",
            "fax_number": "919-570-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CAPCOM AVE STE 3",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876517",
            "telephone_number": "919-570-5277",
            "fax_number": "919-570-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD MEDICAL SPECIALTY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "SHEARIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-570-5277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wake Specialty Physicians LLC (WakeMed Children's - Pediatrics Wake Forest)
• Wakefield Eye Care, OD PLLC
• Wakefield Medical Inc
• Wakemed Specialists Group LLC (WakeMed Wake Orthopaedics)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5254)
• Wal-Mart Stores East, LP (Vision Center 30-5254)
• Walgreen Co (Rite Aid)
• Walgreen Co (Rite Aid)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.