WAKEMED PEDIATRIC INTENSIVIST MINOR PROCEDURE CENTER
NPI 1417478686
Anesthesiology - Pediatric Anesthesiology in Raleigh, NC

Active since June 28, 2017
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7846(919) 350-8147 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wakemed Pediatric Intensivist Minor Procedure Center NPPES

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

WAKEMED PEDIATRIC INTENSIVIST MINOR PROCEDURE CENTER (NPI 1417478686) is a healthcare organization registered as a pediatric anesthesiology in Raleigh, North Carolina and active in the NPI registry since June 2017. The organization lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1417478686
Entity TypeOrganization
Primary Taxonomy207LP3000X
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) 350-7687
Fax(919) 350-8147
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateJune 28, 2017
NPI 1417478686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Definition
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 and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
3024 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Doing Business AsWakemed Pediatric Intensivist Minor Procedure Center

Other Identifiers 1

Medicaid1942440375NC

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

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 1417478686. It was assigned to this organization in the NPPES registry on June 28, 2017. The provider is doing business as Wakemed Pediatric Intensivist Minor Procedure Center.

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) 350-7846.

What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

When was this NPI record last updated?

The NPPES record for Wake Specialty Physicians LLC was last updated on June 28, 2017. 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.