WAKEMED PHYSICIAN PRACTICES UROGYNECOLOGY – NPI #1760861678
Urology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

WAKEMED PHYSICIAN PRACTICES UROGYNECOLOGY is an urologist located in RALEIGH, NC. NPPES has assigned the NPI number 1760861678 to WAKEMED PHYSICIAN PRACTICES UROGYNECOLOGY on May 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WAKEMED PHYSICIAN PRACTICES UROGYNECOLOGY” is a dba name, the actual legal business name for this organization is WAKE SPECIALTY PHYSICIANS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2088F0040X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was previously updated about 8 years ago on Mar 14, 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 UROGYNECOLOGY below.

NPI Profile for
WAKE SPECIALTY PHYSICIANS, LLC

NPI Number
1760861678
Enumeration Date

(more than 11 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 UROGYNECOLOGY
Primary location
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614-8494
Phone: (919) 350-1380 Fax: (919) 556-0124
Mailing address
PO BOX 602195
CHARLOTTE, NC 28260-2195
Phone: (919) 350-0552 Fax: (919) 350-7687
Organization Subpart
No
Authorized Official
MARIA JAYOUSSI
EXEC DIRECTOR, FINANCE
Phone: (919) 350-6089
Updated
Identifiers

Identifiers for WAKEMED PHYSICIAN PRACTICES UROGYNECOLOGY

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
MEDICAIDNC1942440375
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.

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.