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WAKEMED PEDIATRIC SURGERY
NPI 1467863480
Surgery - Surgical Critical Care in Raleigh, NC

Active since May 13, 2014
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 350-8797(919) 350-7859 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wakemed Pediatric Surgery NPPES

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

WAKEMED PEDIATRIC SURGERY (NPI 1467863480) is a healthcare organization registered as a surgical critical care in Raleigh, North Carolina and active in the NPI registry since May 2014. The organization lists Maria Jayoussi, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467863480
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameWAKE SPECIALTY PHYSICIANS, LLC
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0554
Phone(919) 350-8797
Fax(919) 350-7859
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director · (919) 350-6089
Enumeration DateMay 13, 2014
Last NPPES UpdateSeptember 12, 2016
✔ NPI 1467863480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
23 SUNNYBROOK RD, Raleigh, NC 27610
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Other Names 1

Doing Business AsWakemed Pediatric Surgery

Other Identifiers 2

Medicaid1942440375NC
Medicare PIN2347332

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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.

WAKEMED SPECIALISTS GROUP LLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8000
JEFF LAWRENCE KANTOR MD
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6435
VESHANA SINTHAL RAMIAH MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-7193
DR. COLIN BRUCE MUNCIE M.D.
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8797
MRS. ALESIA PERKINS GILMORE MS, LCMHC, LPC
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6510
MRS. ELLEN ROBIA HOLLOWAY PA-C
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
ASTHA THAKKAR MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
LITASHA WILSON
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 212-3011

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 1467863480. It was assigned to this organization in the NPPES registry on May 13, 2014. The provider is doing business as Wakemed Pediatric Surgery.

Where is Wake Specialty Physicians, LLC located?

Wake Specialty Physicians, LLC is located at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 350-8797.

What is Wake Specialty Physicians, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

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.