WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT – NPI #1710434691
Pediatrics

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT is a provider located in RALEIGH, NC. NPPES has assigned the NPI number 1710434691 to WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT on September 08, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT” is a dba name, the actual legal business name for this organization is WAKE SPECIALTY PHYSICIANS LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080B0002X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Obesity Medicine

The NPI profile was previously updated about 8 years ago on Jun 16, 2018. 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 WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT below.

NPI Profile for
WAKE SPECIALTY PHYSICIANS LLC

NPI Number
1710434691
Enumeration Date

(about 10 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 SPECIALTY PHYSICIANS LLC
Doing Business As (dba): WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT
Other name(s)
All associated names:
Doing Business As (dba)
WakeMed Pediatric Weight Management
Doing Business As (dba)
WakeMed Physician Practices Pediatric Weight Management
Primary location
23 SUNNYBROOK RD
RALEIGH, NC 27610-1855
Phone: (919) 350-6439 Fax: (919) 231-0314
Mailing address
PO BOX 602195
CHARLOTTE, NC 28260-2195
Phone: (919) 350-0554 Fax:
Organization Subpart
No
Authorized Official
MARIA JAYOUSSI
EXECUTIVE DIRECTOR, FINANCE
Phone: (919) 350-6089
Updated
Identifiers

Identifiers for WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1942440373
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
2080B0002X
- Pediatrics / Obesity Medicine (Primary)
NC
208000000X
- Pediatrics
NC

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.