Wakemed Specialists Group LLC
Surgery in Cary, NC. Organization (NPI-2).
NPI number1104499474
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1104499474
- Entity type
- Organization (NPI-2)
- Legal business name
- Wakemed Specialists Group LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2021
- Certification date
- Jul 23, 2021
- Last updated
- Jul 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Other names
- Western Wake Surgical (Doing Business As)
Practice location
115 Parkway Office CtCary, NC 27518-7430
Phone 919-859-4747 · Fax 919-859-4757
Mailing address
Po Box 603949Charlotte, NC 28260-3949
Phone 919-350-0554 · Fax 919-350-7867
Authorized official
Shondra Lynn Brink
Vp, Wpp Operations
9193506045
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