Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wake Specialty Physicians LLC

Organization Pediatric Anesthesiology Physician · NPI 1417478686

Wake Specialty Physicians LLC is a Pediatric Anesthesiology Physician in Raleigh, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3024 New Bern Ave
Raleigh, NC 27610-1247
Phone: (919) 350-7846
Fax: (919) 350-8147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X

Record details

NPI number1417478686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Pediatric Intensivist Minor Procedure Center; Wakemed Pediatric Intensivist Minor Procedure Center
NPI enumeratedJune 28, 2017
Last updated in NPPESJune 28, 2017
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

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