1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Anesthesiology
  6. NPI Profile

WAKE SPINE AND PAIN SPECIALISTS, PC
NPI 1558801076
Anesthesiology - Pain Medicine in Raleigh, NC

Active since March 02, 2017
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609(919) 787-7246(919) 787-7247 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2020, Jun 10, 2019, Mar 11, 2019 and 1 more (4 updates tracked since 2017).

About Wake Spine And Pain Specialists, Pc NPPES

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

WAKE SPINE AND PAIN SPECIALISTS, PC (NPI 1558801076) is a healthcare organization registered as a pain medicine in Raleigh, North Carolina and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Cary and lists Bernadette Mauceri, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558801076
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameWAKE SPINE AND PAIN SPECIALISTS, PC
Location Address3801 WAKE FOREST RD STE 210Raleigh, NC 27609-6864
Mailing Address3801 Wake Forest Rd Ste 210Raleigh, NC 27609-6864 · (919) 787-7246 · Fax (919) 787-7247
Phone(919) 787-7246
Fax(919) 787-7247
Organization SubpartYes
Authorized OfficialBernadette MauceriOffice Manager · (919) 787-7246
Enumeration DateMarch 2, 2017
Last NPPES UpdateJune 25, 20204 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1558801076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

3801 WAKE FOREST RD STE 210, Raleigh, NC 27609
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 Keisler DrCary, NC 27518-7069 · Phone (919) 787-7246 · Fax (919) 787-7247

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 7

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

DR. VIJAYSINHA MANDHARE MD
Anesthesiology (Pain Medicine)
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246
COLLEEN PAWLAK NP
Nurse Practitioner (Family)
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246
TIMOTHY WAYNE REIS D.O
Physical Medicine & Rehabilitation (Pain Medicine)
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246
MS. JENNIFER LOULOUDES PA
Physician Assistant
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246
SHANNON DOROTHEA VASSALLO PA
Physician Assistant
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246
MATTHEW S. BROWN FNP
Nurse Practitioner (Family)
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246
JULIANA POTECHIN APRN
Nurse Practitioner
3801 WAKE FOREST RD STE 210
RALEIGH, NC 27609
Wake County (919) 787-7246

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 Spine And Pain Specialists, PC's NPI number?

The NPI number for Wake Spine And Pain Specialists, PC is 1558801076. It was assigned to this organization in the NPPES registry on March 2, 2017.

Where is Wake Spine And Pain Specialists, PC located?

Wake Spine And Pain Specialists, PC is located at 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609. The listed phone number is (919) 787-7246.

What is Wake Spine And Pain Specialists, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Wake Spine And Pain Specialists, PC was last updated on June 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.