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

Wakemed Specialists Group, LLC

Organization Otolaryngology Physician · NPI 1720643927

Wakemed Specialists Group, LLC is an Otolaryngology Physician in Raleigh, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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) 350-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Otolaryngology Physician Taxonomy 207Y00000X

Record details

NPI number1720643927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Of Finance · (919) 350-6089
Other names Wakemed Ent Head & Neck Surgery
NPI enumeratedMay 3, 2019
Last updated in NPPESMay 3, 2019
Mailing address2920 Highwoods Blvd, Raleigh, NC 27604-0010

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