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Contact Information

WAKEMED
3000 NEW BERN AVE
RALEIGH, NC27610-1231
 Phone: 919-350-8000
 Fax: 919-350-0559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Hospitalist

208M00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WAKEMED · (Female)

NPI Number 1194907717
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2007
Last updated 01/23/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 1194907717
  • NC Medicaid 890770G
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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