WAKE SPECIALTY PHYSICIANS, LLC (NPI# 1922591049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591049 |
| Entity Type | Organization |
| Organization Name | WAKE SPECIALTY PHYSICIANS, LLC |
| Other Organization Name | WAKEMED BARIATRIC SPECIALISTS OF NC |
| Practice Address |
160 Macgregor Pines Dr Cary NC 27511-6036 |
| Mailing Address |
Po Box 602195 Charlotte NC 28260-2195 |
| Practice Telephone | 9192344468 |
| Practice Fax Number | 9192344478 |
| Mailing Telephone | 9193500552 |
| Mailing Fax Number | 9193507687 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | MARIA JAYOUSSI (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 9193506089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1942440375 | 05 |
| Other Name | Type Code |
|---|---|
| WakeMed Bariatric Specialists of NC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216253 | Wake Specialty Physicians, LLC | Pediatrics | 204 Medspring Dr, Clayton, NC 27520-9293 | 2019-07-12 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1811304678 | Wake Specialty Physicians, LLC | Durable Medical Equipment & Medical Supplies | 222 Ashville Ave Ste 10, Cary, NC 27518-6130 | 2014-07-14 |
| 1649686577 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 222 Ashville Ave Ste 20, Cary, NC 27518-6130 | 2014-07-11 |
| 1659934511 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-04-17 |
| 1861922775 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2017-06-13 |
| 1760861678 | Wake Specialty Physicians, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2015-05-26 |
| 1619374261 | Wake Specialty Physicians, LLC | Urology | 218 Ashville Ave, Cary, NC 27518-6118 | 2014-11-25 |
| 1740680222 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-09-03 |
| 1447667209 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2014-07-14 |
| Street Address |
160 MACGREGOR PINES DR |
| City | CARY |
| State | NC |
| Zip Code | 27511-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694499 | David M Pilati | Surgery | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2006-01-26 |
| 1013571587 | Wakemed Specialists Group, LLC | Internal Medicine | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2019-04-30 |
| 1124506464 | Evolution Physical Therapy and Wellness LLC | Clinic/Center | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-07-30 |
| 1194189837 | Emergeortho, Pa | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2016-04-08 |
| 1518350289 | Kristin Kelly Clowes | Dietitian, Registered | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2015-03-05 |
| 1568873198 | Bariatric Specialists of North Carolina | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2014-05-16 |
| 1265854053 | Medisuite | Pharmacy | 160 Macgregor Pines Dr, Suite 110, Cary, NC 27511-6036 | 2014-01-13 |
| 1124377247 | Sarah A Stout | Physician Assistant | 160 Macgregor Pines Dr, Cary, NC 27511 | 2012-09-05 |
| 1467712679 | Patrick James Mahaney | Nutritionist | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2012-05-22 |
| 1033487806 | Gregory Thomas Anderson | Nurse Practitioner | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1285927640 | The Band Center of The Carolinas, Pa | Surgery | 400 Ashville Ave Ste 200, Cary, NC 27518-6134 | 2011-05-18 |
| 1720041213 | David Zachary Zeiler | Surgery | 115 Crescent Commons Drive, Suite 200, Cary, NC 27518-8102 | 2006-04-07 |
| 1184694499 | David M Pilati | Surgery | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 | 2006-01-26 |
| 1093796203 | Eric David Duberman | Surgery | 155 Parkway Office Ct, Suite 101, Cary, NC 27518-7426 | 2005-11-07 |
| 1518966886 | Michael Malik | Surgery | 530 New Waverly Pl, Ste. 304, Cary, NC 27518-7414 | 2005-07-19 |
| 1245236124 | Kenneth R Hauswald | Surgery | 1505 Sw Cary Pkwy, Suite 302, Cary, NC 27511-6219 | 2005-06-24 |
| 1912478496 | Wake Specialty Physicians LLC | Surgery | 530 New Waverly Pl, Cary, NC 27518-7414 | 2018-12-10 |
| 1194189837 | Emergeortho, Pa | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2016-04-08 |
| 1568873198 | Bariatric Specialists of North Carolina | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2014-05-16 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.