WAKEMED SPECIALISTS GROUP LLC NPI 1326684077

NPI Information

NPI: 1326684077
Provider Name: WAKEMED SPECIALISTS GROUP, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
811 US 70 HWY W
GARNER, NC
ZIP 27529
Phone: (919) 235-6565
Get Directions

WAKEMED SPECIALISTS GROUP, LLC is a durable medical equipment medical supplies in Garner, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAKEMED SPECIALISTS GROUP, LLC NPI is 1326684077. The provider is registered as an organization entity type.

The provider's business location address is:

811 US 70 HWY W
GARNER, NC
ZIP 27529-541
Phone: (919) 235-6565
Fax: (919) 235-6596

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director Of Finance and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 11/18/2019 and was last updated on 11/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			No
2	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1386209633	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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