WAKE SPINE & PAIN SPECIALISTS PC NPI 1568696748

NPI Information

NPI: 1568696748
Provider Name: WAKE SPINE & PAIN SPECIALISTS PC
Classification: Anesthesiology - 207LP2900X
Specialization: Pain Medicine
Entity Type: Organization
CLIA Number: 34D2047707
Address: 115 KILDAIRE PARK DRIVE
SUITE 205
CARY, NC
ZIP 27518
Phone: (919) 787-7246

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NPI Details

WAKE SPINE & PAIN SPECIALISTS PC is a pain medicine anesthesiology in Cary, NC. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. WAKE SPINE & PAIN SPECIALISTS PC NPI is 1568696748. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 KILDAIRE PARK DRIVE
SUITE 205
CARY, NC
ZIP 27518
Phone: (919) 787-7246
Fax: (919) 787-7247

The provider's authorized official is Bernadette Mauceri .
The authorized official title is Office Manager and has the following contact phone number (919) 787-7246.

The CLIA number assigned to this NPI record is 34D2047707 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/4/2009 and was last updated on 10/20/2021.

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	207LP2900X	Anesthesiology	Pain Medicine			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	1493M	OTHER	NORTH CAROLINA	BCBS
2	2022628A	OTHER	NORTH CAROLINA	MEDICARE PTAN
3	5910579	MEDICAID	NORTH CAROLINA
4	P00759335	OTHER	NORTH CAROLINA	RAILROAD MEDICARE GROUP MEMBER PTAN
5	DP4614	OTHER	NORTH CAROLINA	RAILROAD MEDICARE GROUP PTAN

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: 3/30/2025

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