WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT
NPI 1710434691
Pediatrics - Obesity Medicine in Raleigh, NC
NPI Status: Active since September 08, 2016
Contact Information
23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-6439
Fax: (919) 231-0314
- Organization
- Pediatrics
- Obesity Medicine
- Accepts Insurance
About WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT
This page provides the complete NPI Profile along with additional information for Wakemed Physician Practices Pediatric Weight Management, a pediatrician established in Raleigh, North Carolina operating as a Pediatrics, focusing in obesity medicine . The healthcare provider is registered in the NPI registry with number 1710434691 assigned on September 2016. The practitioner's primary taxonomy code is 2080B0002X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Wakemed Physician Practices Pediatric Weight Management 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 Physician Practices Pediatric Weight Management. The authorized official of this NPI record is Maria Jayoussi (Executive Director, Finance)
- NPI
- 1710434691
- Provider Legal Name
- WAKE SPECIALTY PHYSICIANS LLC
- Other Organization Name
- WAKEMED PHYSICIAN PRACTICES PEDIATRIC WEIGHT MANAGEMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 23 SUNNYBROOK RD RALEIGH, NC 27610
- Location Phone
- (919) 350-6439
- Location Fax
- (919) 231-0314
- Mailing Address
- PO BOX 602195 CHARLOTTE, NC 28260
- Mailing Phone
- (919) 350-0554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2016
- Last Update Date
- 06-16-2018
- Code Navigator
A pediatrician like Wakemed Physician Practices Pediatric Weight Management 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 Obesity Medicine
- Taxonomy Code
- 2080B0002X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- A pediatrician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (NC) |
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.
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 |
|---|---|---|---|
| 1942440373 | MEDICAID (05) | NC |
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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. | |||||||||
| 1 | 7 | 1 | 0 | 4 | 3 | 4 | 6 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 8 | 3 | 8 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 8 + 3 + 8 + 6 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1710434691 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1386648756 | DR. JAMES A SCOVIL M.D. Individual | Legal Medicine | 23 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 |
| 1215052352 | MS. JENNIFER A AVAKIAN C.P.O. Individual | Prosthetist | 23 SUNNYBROOK RD STE. 185 RALEIGH, NC 27610 (919) 231-3132 |
| 1972874907 | CAPITAL CITY SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 23 SUNNYBROOK RD SUITE 100 RALEIGH, NC 27610 (561) 630-6277 |
| 1922194000 | DR. SELAM BULLOCK MD Individual | Pediatrics | 23 SUNNYBROOK RD SUITE 116 RALEIGH, NC 27610 (919) 250-3478 |
| 1427469444 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Urology | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-0554 |
| 1245634823 | MRS. LAURA JUNE OATES PNP Individual | Nurse Practitioner (Pediatrics) | 23 SUNNYBROOK RD SUITE116 RALEIGH, NC 27610 (919) 250-3478 |
| 1518378553 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Pediatrics (Pediatric Endocrinology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-7584 |
| 1467863480 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Surgery (Surgical Critical Care) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-8797 |
| 1740680222 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Pediatrics (Pediatric Gastroenterology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6435 |
| 1568958866 | ALLISON SHARP MCDOUGAL MS, RDN, LDN Individual | Dietitian, Registered | 23 SUNNYBROOK RD RALEIGH, NC 27610 (870) 904-7138 |
| 1659934511 | WAKE SPECIALTY PHYSICIANS, LLC Organization | Pediatrics (Developmental - Behavioral Pediatrics) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-8797 |
| 1336704766 | WAKEMED SPECIALISTS GROUP, LLC Organization | Pediatrics (Pediatric Gastroenterology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6435 |
| 1265097695 | WAKEMED SPECIALISTS GROUP, LLC Organization | Pediatrics (Pediatric Endocrinology) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-7584 |
| 1982269346 | WAKEMED SPECIALISTS GROUP, LLC Organization | Surgery (Pediatric Surgery) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 350-8797 |
| 1962067314 | WAKEMED SPECIALISTS GROUP, LLC Organization | Pediatrics (Obesity Medicine) | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6439 |
| 1497307334 | WAKEMED 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 |
| 1861030371 | MRS. MACON LOUISE CORNICK GUIDRY RDN, LDN Individual | Dietitian, Registered | 23 SUNNYBROOK RD RALEIGH, NC 27610 (919) 235-6439 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710434691, enumerated in the NPI registry as an "organization" on September 08, 2016
The provider is located at 23 Sunnybrook Rd Raleigh, Nc 27610 and the phone number is (919) 350-6439
This medical organization specializes in Pediatrics with taxonomy code 2080B0002X with a focus in Obesity Medicine
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 September 08, 2016. 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].
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