NPIMap

Organization Active NPI

Wake Emergency Physicians PA

  • Emergency Medicine Physician
  • Oxford, NC
National Provider Identifier
1972842839
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WAKE EMERGENCY PHYSICIANS PA
Practice address
1010 College St
Oxford, NC 27565
Phone
(919) 690-3000
NPI assigned
Feb 12, 2013
Last updated
May 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
James Palombaro, MD
Title
Medical Director
Phone
(919) 859-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1010 College St
Oxford, NC 27565

Mailing address

PO Box 890053
Charlotte, NC 28289-0053
Phone (800) 815-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000295 NC Part B Supplier - Clinic/Group Practice 9931002078 Receives reassigned benefits from 296 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rocky Mount, NC; Wendell, NC; Smithfield, NC; Raleigh, NC; Kinston, NC; Goldsboro, NC; Garner, NC; Clayton, NC…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1972842839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890053",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890053",
            "telephone_number": "800-815-7491",
            "fax_number": "843-237-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-690-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE EMERGENCY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "PALOMBARO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-859-3373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.