Organization · Type 2 NPI

Wake Specialty Physicians LLC

Pediatric Anesthesiology Physician · Raleigh, NC

NPI number 1417478686 Active

Practice location

3024 New Bern Ave
Raleigh, NC 27610-1247

Call (919) 350-7846 Map

Fax (919) 350-8147

Mailing address

PO Box 602195
Charlotte, NC 28260-2195

Specialties and licenses

Taxonomy	Code	License
Pediatric Anesthesiology Physician Primary	207LP3000X	None listed

Pediatric Anesthesiology Physician: An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia …

223 other providers at this address

Other pediatric anesthesiology physician providers in Raleigh

Wakemed Specialists Group, LLCPediatric Anesthesiology Physician Raleigh, NC NPI 1821653288

See all in Raleigh →

NPI record

NPI: 1417478686
Entity type: Organization (Type 2)
Issued: Jun 28, 2017
Last updated: Jun 28, 2017
Status: Active

Other names

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Wakemed Pediatric Intensivist Minor Procedure Center · doing business as
Wakemed Pediatric Intensivist Minor Procedure Center · doing business as

Authorized official

Maria Jayoussi
Executive Director of Finance
(919) 350-6089

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417478686

Wake Specialty Physicians LLC's National Provider Identifier is 1417478686, issued on Jun 28, 2017. The primary taxonomy on file is Pediatric Anesthesiology Physician (207LP3000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 28, 2017.