WAKEMED CHILDRENS PEDIATRIC GASTROENTEROLOGY
NPI 1336704766
Pediatrics - Pediatric Gastroenterology in Raleigh, NC

NPI Status: Active since May 01, 2019

Contact Information

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 235-6435
Fax: (919) 231-0314

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  • Organization
  • Pediatrics
  • Pediatric Gastroenterology
  • Accepts Insurance

About WAKEMED CHILDRENS PEDIATRIC GASTROENTEROLOGY

This page provides the complete NPI Profile along with additional information for Wakemed Childrens Pediatric Gastroenterology, a pediatrician established in Raleigh, North Carolina operating as a Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1336704766 assigned on May 2019. The practitioner's primary taxonomy code is 2080P0206X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Wakemed Childrens Pediatric Gastroenterology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Wakemed Childrens Pediatric Gastroenterology. The authorized official of this NPI record is Maria Jayoussi (Executive Director Of Finance)

NPI
1336704766
Provider Legal Name
WAKEMED SPECIALISTS GROUP, LLC
Other Organization Name
WAKEMED CHILDRENS PEDIATRIC GASTROENTEROLOGY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
23 SUNNYBROOK RD RALEIGH, NC 27610
Location Phone
(919) 235-6435
Location Fax
(919) 231-0314
Mailing Address
PO BOX 603949 CHARLOTTE, NC 28260
Mailing Phone
(919) 350-0552
Mailing Fax
(919) 231-0314
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2019
Last Update Date
08-19-2019
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A pediatrician like Wakemed Childrens Pediatric Gastroenterology is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIA JAYOUSSI

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(919) 350-6089

Reviews for WAKEMED CHILDRENS PEDIATRIC GASTROENTEROLOGY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336704766
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661408712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 0 + 8 + 7 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1336704766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386648756DR. JAMES A SCOVIL M.D.
Individual
Legal Medicine23 SUNNYBROOK RD STE 109
RALEIGH, NC 27610
(919) 212-1959
1114984077 LITASHA WILSON
Individual
Social Worker (Clinical)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 212-3011
1154366201 DAVID JAMES RATHVON PA-C
Individual
Physician Assistant (Medical)23 SUNNYBROOK RD SUITE 145
RALEIGH, NC 27610
(919) 231-3966
1215052352MS. JENNIFER A AVAKIAN C.P.O.
Individual
Prosthetist23 SUNNYBROOK RD STE. 185
RALEIGH, NC 27610
(919) 231-3132
1972874907CAPITAL CITY SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)23 SUNNYBROOK RD SUITE 100
RALEIGH, NC 27610
(561) 630-6277
1922194000DR. SELAM BULLOCK MD
Individual
Pediatrics23 SUNNYBROOK RD SUITE 116
RALEIGH, NC 27610
(919) 250-3478
1427469444WAKE SPECIALTY PHYSICIANS, LLC
Organization
Urology23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-0554
1245634823MRS. LAURA JUNE OATES PNP
Individual
Nurse Practitioner (Pediatrics)23 SUNNYBROOK RD SUITE116
RALEIGH, NC 27610
(919) 250-3478
1518378553WAKE SPECIALTY PHYSICIANS, LLC
Organization
Pediatrics (Pediatric Endocrinology)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-7584
1467863480WAKE SPECIALTY PHYSICIANS, LLC
Organization
Surgery (Surgical Critical Care)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-8797
1740680222WAKE SPECIALTY PHYSICIANS, LLC
Organization
Pediatrics (Pediatric Gastroenterology)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 235-6435
1710434691WAKE SPECIALTY PHYSICIANS LLC
Organization
Pediatrics (Obesity Medicine)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-6439
1568958866 ALLISON SHARP MCDOUGAL MS, RDN, LDN
Individual
Dietitian, Registered23 SUNNYBROOK RD
RALEIGH, NC 27610
(870) 904-7138
1659934511WAKE SPECIALTY PHYSICIANS, LLC
Organization
Pediatrics (Developmental - Behavioral Pediatrics)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-8797
1265097695WAKEMED SPECIALISTS GROUP, LLC
Organization
Pediatrics (Pediatric Endocrinology)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-7584
1982269346WAKEMED SPECIALISTS GROUP, LLC
Organization
Surgery (Pediatric Surgery)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-8797
1962067314WAKEMED SPECIALISTS GROUP, LLC
Organization
Pediatrics (Obesity Medicine)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 235-6439
1497307334WAKEMED SPECIALISTS GROUP LLC
Organization
Pediatrics (Pediatric Pulmonology)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 235-6435
1548643117 ROSANNA DE LA ROSA LPC
Individual
Counselor (Mental Health)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 264-3479
1861030371MRS. MACON LOUISE CORNICK GUIDRY RDN, LDN
Individual
Dietitian, Registered23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 235-6439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336704766, enumerated in the NPI registry as an "organization" on May 01, 2019

The provider is located at 23 Sunnybrook Rd Raleigh, Nc 27610 and the phone number is (919) 235-6435

This medical organization specializes in Pediatrics with taxonomy code 2080P0206X with a focus in Pediatric Gastroenterology

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 01, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.