National Provider Identifier Database

WAKEMED SPECIALISTS GROUP LLC
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

WAKEMED SPECIALISTS GROUP, LLC
3024 NEW BERN AVE
RALEIGH, NC27610-1247
Phone: 919-350-7856
Fax:
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X
Otolaryngology/Facial Plastic Surgery 207YX0905X
Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for WAKEMED SPECIALISTS GROUP, LLC

NPI Number 1053976415
Legal business name
LBN
WAKEMED SPECIALISTS GROUP, LLC
Authorized official MARIA JAYOUSSI - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 05/01/2019
Last updated 05/01/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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