WAKEMED ENT HEAD & NECK SURGERY
NPI 1063823003
Otolaryngology in Raleigh, NC

Active since May 13, 2014
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7856(919) 350-1635 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wakemed Ent Head & Neck Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKEMED ENT HEAD & NECK SURGERY (NPI 1063823003) is a healthcare organization registered as an otolaryngology in Raleigh, North Carolina and active in the NPI registry since May 2014. The organization lists Maria Jayoussi, Executive Director Finance, as its authorized official.

NPPES Registry Identity

NPI1063823003
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS, LLC
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552
Fax(919) 350-1635
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Finance · (919) 360-6089
Enumeration DateMay 13, 2014
Last NPPES UpdateSeptember 12, 2016
NPI 1063823003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3024 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Doing Business AsWakemed Ent Head & Neck Surgery

Other Identifiers 2

Medicaid1942440375NC
Medicare PIN2347332NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wake Specialty Physicians, LLC's NPI number?

The NPI number for Wake Specialty Physicians, LLC is 1063823003. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as Wakemed Ent Head & Neck Surgery.

Where is Wake Specialty Physicians, LLC located?

Wake Specialty Physicians, LLC is located at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7856.

What is Wake Specialty Physicians, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Wake Specialty Physicians, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Wake Specialty Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wake Specialty Physicians, LLC was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.