WAKE SPECIALTY PHYSICIANS, LLC (NPI# 1952715179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952715179 |
| Entity Type | Organization |
| Organization Name | WAKE SPECIALTY PHYSICIANS, LLC |
| Other Organization Name | WPP HARNETT SURGICAL |
| Practice Address |
803 Tilghman Dr Dunn NC 28334-6694 |
| Mailing Address |
2920 Highwoods Blvd Raleigh NC 27604-1015 |
| Practice Telephone | 9108921550 |
| Mailing Telephone | 9193500554 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | MARIA JAYOUSSI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9193500554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WPP Harnett Surgical | 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 |
| 1922591049 | Wake Specialty Physicians, LLC | Surgery | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-06-13 |
| 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 |
| Street Address |
803 TILGHMAN DR |
| City | DUNN |
| State | NC |
| Zip Code | 28334-6694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420507 | Jodi L. Miller | Family Medicine | 803 Tilghman Dr, Dunn, NC 28334-5509 | 2006-01-06 |
| 1356882112 | Sara Kelsey Neal | Physician Assistant | 803 Tilghman Dr, #100, Dunn, NC 28334-6694 | 2017-03-13 |
| 1417355629 | Cumberland County Hospital System | Surgery | 803 Tilghman Dr, Suite 200, Dunn, NC 28334-6694 | 2014-12-22 |
| 1508905480 | Sharon Lynne Saunders | Nurse Practitioner | 803 Tilghman Dr, Dunn, NC 28334-6694 | 2007-02-06 |
| 1194749648 | Sanford William Hawkins-rivers | Surgery | 803 Tilghman Dr, Suite 200, Dunn, NC 28334-5509 | 2006-07-27 |
| 1568420107 | Vidette V Cooper | Internal Medicine | 803 Tilghman Dr, Suite 100, Dunn, NC 28334-5509 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1477009728 | Elizabeth Liles Mcgee Fegert | Speech-Language Pathologist | 111 S. Raiload Ave, Dunn, NC 28334 | 2016-08-28 |
| 1326407602 | Global Health Metrics, LLC | Clinic/Center | 726 Tilghman Drive, Dunn, NC 28334 | 2016-02-16 |
| 1902296015 | Amanda Weissman | Social Worker | 710 W Broad St, Dunn, NC 28334 | 2015-01-27 |
| 1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
| 1558643551 | Alzheimer's Related Care of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd., Dunn, NC 28334 | 2011-09-15 |
| 1609177104 | Carenet, Inc. | Counselor | 1001 Plain View Hwy, Dunn, NC 28334 | 2010-11-15 |
| 1003042128 | Trust The Process Inc. | Home Health | 608 A West Broad St, Dunn, NC 28334 | 2009-06-03 |
| 1861655714 | Carolina Eye Associates Inc | Ophthalmology | 107 Hunt Drive, Dunn, NC 28334 | 2008-07-09 |
| Find all providers in zip 28334 | ||||
| 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 |
|---|---|---|---|---|
| 1417355629 | Cumberland County Hospital System | Surgery | 803 Tilghman Dr, Suite 200, Dunn, NC 28334-6694 | 2014-12-22 |
| 1194749648 | Sanford William Hawkins-rivers | Surgery | 803 Tilghman Dr, Suite 200, Dunn, NC 28334-5509 | 2006-07-27 |
| 1255326195 | Te Ming Tommy Chang | Surgery | 721 Tilghman Dr, Suite 400, Dunn, NC 28334-6063 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1790335180 | Shihao Lao | Surgery | 2301 Erwin Rd # Dumc2837, Durham, NC 27705-4699 | 2019-09-17 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1386128601 | Venkateswara Rao Gurram | Surgery | 5075 Winster Dr Apt 202, Winston Salem, NC 27106-2988 | 2018-09-21 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
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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.