Western Wake Surgical PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

73992 Issued in NC

Legal business name

WESTERN WAKE SURGICAL PC

Practice address

155 Parkway Office CT
Suite 101
Cary, NC 27518-7427

Phone

(919) 859-4747

Fax

(919) 859-4757

NPI assigned

Feb 27, 2008

Last updated

Sep 16, 2011By 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. Debra L Davis

Title

Billing Administrator

Phone

(919) 859-4747

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1811166549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PARKWAY OFFICE CT",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187427",
            "telephone_number": "919-859-4747",
            "fax_number": "919-859-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PARKWAY OFFICE CT",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187427",
            "telephone_number": "919-859-4747",
            "fax_number": "919-859-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WAKE SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "919-859-4747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "73992",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NC",
            "license": "73992",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891295Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1295Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Wake Eye Center PA
• Western Wake Internal Medicine
• Western Wake Internal Medicine
• Western Wake Medical Associates, PLLC
• Western Wake Pediatrics, PA
• Western Wake Wellness
• Taniya Westmoreland, BEHAVIOR TECHNICIAN
• Anna Whalen
• Deborah Ward Whalen, MPT
• Hillary Wheeler, PHARMD

• Surgery Physician in Cary, NC
• Providers in Cary, 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 Sep 16, 2011; 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.