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

NPI Status: Active since May 13, 2014

Contact Information

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8797
Fax: (919) 350-7859

Get Directions Reviews

  • Organization
  • Surgery
  • Surgical Critical Care
  • Accepts Insurance

About WAKEMED PEDIATRIC SURGERY

This page provides the complete NPI Profile along with additional information for Wakemed Pediatric Surgery, a provider established in Raleigh, North Carolina operating as a Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1467863480 assigned on May 2014. The practitioner's primary taxonomy code is 2086S0102X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Wakemed Pediatric Surgery operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Wakemed Pediatric Surgery. The authorized official of this NPI record is Maria Jayoussi (Executive Director)

NPI
1467863480
Provider Legal Name
WAKE SPECIALTY PHYSICIANS, LLC
Other Organization Name
WAKEMED PEDIATRIC SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
23 SUNNYBROOK RD RALEIGH, NC 27610
Location Phone
(919) 350-8797
Location Fax
(919) 350-7859
Mailing Address
PO BOX 602195 CHARLOTTE, NC 28260
Mailing Phone
(919) 350-0554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2014
Last Update Date
09-12-2016
Code Navigator

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

Surgery Surgical Critical Care

Taxonomy Code
2086S0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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:

  • 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
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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
Authorized Official Phone
(919) 350-6089

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1942440375MEDICAID (05)NC 
2347332MEDICARE PIN (08) 

Reviews for WAKEMED PEDIATRIC SURGERY

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.
1467863480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271666416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 6 + 6 + 6 + 4 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1467863480 is valid because the calculated check digit 0 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
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
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
1336704766WAKEMED SPECIALISTS GROUP, LLC
Organization
Pediatrics (Pediatric Gastroenterology)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 235-6435
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
1245895697WAKEMED SPECIALISTS GROUP, LLC
Organization
Pediatrics (Developmental - Behavioral Pediatrics)23 SUNNYBROOK RD
RALEIGH, NC 27610
(919) 350-7584

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467863480, enumerated in the NPI registry as an "organization" on May 13, 2014

The provider is located at 23 Sunnybrook Rd Raleigh, Nc 27610 and the phone number is (919) 350-8797

This medical organization specializes in Surgery with taxonomy code 2086S0102X with a focus in Surgical Critical Care

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. 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 13, 2014. 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.