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Wakemed Specialists Group, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Garner, NC

NPI 1992360960 · NPPES record last updated Aug 28, 2019

Key facts

NPI
1992360960
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
WAKEMED SPECIALISTS GROUP, LLC
Practice address
400 US Highway 70 E
Ste 100
Garner, NC 27529-4850
Phone
(919) 232-5020
Fax
(919) 232-5021
NPI assigned
May 6, 2019
Organization subpart
No

Authorized official

Name
Maria Jayoussi
Title
Executive Director of Finance
Phone
(919) 350-6089

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 868

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

View all 868

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190910001430 NC DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2466788377 Practice locations: Garner, NC

National Provider Directory

Tax ID family
Wakemed Specialists Group LLC (36 organizations share this tax ID)

Locations

400 US 70 Hwy E
Ste 202
Garner, NC 27529
Phone (919) 235-6400

400 US 70 Hwy E
Ste 100
Garner, NC 27529

2920 Highwoods Blvd
Raleigh, NC 27604

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

400 US Highway 70 E
Ste 100
Garner, NC 27529-4850

Mailing address

PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-0552

Other names

  • WakeMed Wake Orthopaedics Other name

Other providers in Garner, NC

All providers in Garner, NC · Durable Medical Equipment & Medical Supplies in North Carolina

Sources for this page

Verify at the official NPI Registry.