OrganizationActive
Wake Spine and Pain Specialists, PC
NPI 1336738632 · Pain Medicine (Anesthesiology) Physician · Fayetteville, NC
Provider details
- NPI number
- 1336738632
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wake Spine and Pain Specialists, PC
- Organization subpart
- Yes
- Authorized official
- Vijaysinha Mandhare, Medical Director(919) 787-7246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone: (919) 787-7246
Fax: (919) 787-7247
Street-level locationGet directions
Mailing address
3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.