<Unavail>
LBN: Wakemed Specialists Group Llc
<Unavail> is an health care organization with primary practice located at 3024 New Bern Ave , Raleigh NC 27610-1247. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Wakemed Specialists Group Llc can be contacted via phone (919) 350-1380, or through Perry, Karen Revicki via phone (919) 350-8000.
Contact Information
Primary practice address
3024 New Bern Ave
Raleigh NC 27610-1247
Phone: (919) 350-1380
Fax: (919) 556-0124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ||
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X |
Profile Details
| NPI number | 1063076453 |
|---|---|
| LBN Legal business name | Wakemed Specialists Group Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Perry, Karen Revicki |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2019 |
| Last updated | Jul 23rd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063076453 | NPPES |
| North Carolina | MEDICAID | 1063076453 |
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