OrganizationActive
Wakemed Faculty Practice Plan
NPI 1013203819 · Pediatric Critical Care Medicine Physician · Raleigh, NC
Provider details
- NPI number
- 1013203819
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wakemed Faculty Practice Plan
- Organization subpart
- Yes
- Authorized official
- Susan Weaver, Senior Vice President(919) 350-8228
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Neonatal-Perinatal Medicine Physician2080N0001X
Allopathic & Osteopathic Physicians
Practice location
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone: (919) 350-8000
Approximate (ZIP-level) locationGet directions
Mailing address
3024 New Bern Ave
Raleigh, NC 27610-1247
Other names (DBA / former)
- Doing business as
- Wakemed Faculty Physicians - Pediatric Hospitalists/Intensivists
Registry dates
- Enumerated
- 2011-06-21
- Last updated
- 2011-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.