WAKE SPINE AND PAIN SPECIALISTS, PC – NPI #1336738632
Anesthesiology

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.

Health Care Provider Taxonomy Code for Anesthesiology

WAKE SPINE AND PAIN SPECIALISTS, PC is an anesthesiologist located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1336738632 to WAKE SPINE AND PAIN SPECIALISTS, PC on January 12, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 5 years ago on Jan 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAKE SPINE AND PAIN SPECIALISTS, PC below.

NPI Profile for
WAKE SPINE AND PAIN SPECIALISTS, PC

NPI Number
1336738632
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAKE SPINE AND PAIN SPECIALISTS, PC
Primary location
1357 WALTER REED RD STE 101
FAYETTEVILLE, NC 28304-4417
Phone: (919) 787-7246 Fax: (919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609-6864
Phone: (919) 787-7246 Fax: (919) 787-7246
Organization Subpart
Yes - WAKE SPINE AND PAIN SPECIALISTS, PC is subpart of another organization.
Authorized Official
VIJAYSINHA MANDHARE
MEDICAL DIRECTOR
Phone: (919) 787-7246
Updated
Certification Date
Jan 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.