Wake Spine and Pain Specialists, PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

WAKE SPINE AND PAIN SPECIALISTS, PC

Practice address

2573 Stantonsburg Rd Ste a
Greenville, NC 27834-7213

Phone

(919) 787-7246

Fax

(919) 787-7247

NPI assigned

Apr 22, 2022

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WAKE SPINE AND PAIN SPECIALISTS, PCAs reported in NPPES

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

Authorized official

Name

Vijaysinha Mandhare, MDNPI 1891905287

Title

Medical Director

Phone

(919) 787-7246

Specialties & licenses 1

Addresses

Part of

Wake Spine and Pain Specialists PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wake Spine & Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Cary, NC
  • NPI 1568696748
  NPPES parent name

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.

• Vijaysinha Mandhare, MD

  • Pain Medicine (Anesthesiology) Physician
  • Raleigh, NC
  • NPI 1891905287
  NPD (past) Authorized official

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1730823170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2573 STANTONSBURG RD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347213",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE SPINE AND PAIN SPECIALISTS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE SPINE AND PAIN SPECIALISTS, PC",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "MANDHARE",
        "authorized_official_first_name": "VIJAYSINHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-787-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B Wagner, D.O.
• Ryan Austin Wagner, RN
• Zeeshan Wahab, DMD
• John Edward Wahlen, M.D.
• Heather Wainwright
• Jessica Psujek Wakefield, LCMHC, NBC-HWC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1379)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7337)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7222)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5851)

• Pain Medicine (Anesthesiology) Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.