PRIVATE DIAGNOSTIC CLINIC, PLLC


Address: 530 New Waverly Pl, Suite 101, Cary, NC 27518-7414
Phone: 9192333959

PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1194126268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194126268
Entity Type Organization
Organization Name PRIVATE DIAGNOSTIC CLINIC, PLLC
Other Organization Name DUKE SIGNATURE CARE - CARY
Practice Address 530 New Waverly Pl
Suite 101
Cary
NC 27518-7414
Mailing Address Po Box 63362
Charlotte
NC 28263-3362
Practice Telephone 9192333959
Mailing Telephone 9196204700
Enumeration Date 2014-09-09
Last Update Date 2014-09-11
Authorized Official Name CHRISTOPHER T FREDERICK (CFO)
Authorized Official Telephone 9196137762
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Duke Signature Care - Cary Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538616289 Private Diagnostic Clinic, Pllc Neurological Surgery 1212 Cedarhurst Dr Ste 102, Raleigh, NC 27609-5588 2016-09-09
1083168181 Private Diagnostic Clinic, Pllc Internal Medicine 10207 Cerny St Ste 306, Raleigh, NC 27617-4879 2016-08-08
1124459292 Private Diagnostic Clinic, Pllc Occupational Therapist Duke Clinic 1e, 40 Duke Medicine Circle, Durham, NC 27710-0001 2013-11-27
1609116664 Private Diagnostic Clinic, Pllc Dermatology 82 Wheaton Ave, Youngsville, NC 27596-8691 2013-02-27
1487903423 Private Diagnostic Clinic, Pllc Pediatrics 540 New Waverly Place, Ste.101, Cary, NC 27518-7422 2012-09-06
1558639864 Private Diagnostic Clinic, Pllc Allergy & Immunology 30 Duke Medicine Circle, Durham, NC 27710-3000 2011-12-01
1972826568 Private Diagnostic Clinic, Pllc Family Medicine 800 Clayton Rd, Durham, NC 27703-2606 2010-03-10
1891021853 Private Diagnostic Clinic, Pllc Obstetrics & Gynecology 2406 Blue Ridge Road, Suite 200, Raleigh, NC 27607-6680 2009-10-27
1447480413 Private Diagnostic Clinic, Pllc Orthopaedic Surgery 511 Ruin Road, Suite 106, Henderson, NC 27536-5919 2009-07-23
1841446762 Private Diagnostic Clinic, Pllc Otolaryngology 783 Doctors Ct Ste C, Roxboro, NC 27573-4575 2008-08-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PRIVATE DIAGNOSTIC CLINIC, PLLC Duke University Medical Center, Durham, NC 27710-0001

Office Location

Street Address 530 NEW WAVERLY PL
SUITE 101
City CARY
State NC
Zip Code 27518-7414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518966886 Michael Malik Surgery 530 New Waverly Pl, Ste. 304, Cary, NC 27518-7414 2005-07-19
1912478496 Wake Specialty Physicians LLC Surgery 530 New Waverly Pl, Cary, NC 27518-7414 2018-12-10
1467866152 Triangle Wellness Pllc Family Medicine 530 New Waverly Pl, Suite 301, Cary, NC 27518-7414 2014-06-20
1598022394 Garett Randall Franklin Family Medicine 530 New Waverly Pl, Suite 200, Cary, NC 27518-7414 2012-04-18
1912137365 Sridevi Allu Family Medicine 530 New Waverly Pl, Suite 200, Cary, NC 27518-7414 2009-07-20
1104012343 Raleigh Durham Medical Group Pa Surgery 530 New Waverly Pl, Ste. 304, Cary, NC 27518-7414 2007-09-21
1417086117 Audrey C Avitabile Nurse Practitioner 530 New Waverly Pl, Suite 200, Cary, NC 27518-7414 2007-03-06
1457494254 Rebecca Ann Boettcher Nurse Practitioner 530 New Waverly Pl, Suite 200, Cary, NC 27511-7414 2007-02-14
1912049669 Sylvia Piqueras Shoffner Internal Medicine 530 New Waverly Pl, Suite 200, Cary, NC 27511-7414 2007-02-12
1063553436 Susan Lawrence Crittenden Internal Medicine 530 New Waverly Pl, Suite 200, Cary, NC 27511-7414 2007-02-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932730801 Fuller & Associates Iv, Pllc Dentist 3420 Ten-ten Road, Suite 310, Cary, NC 27518 2020-01-30
1649761602 Uday N Reebye, Md. Dmd, Pa Dentist 431 Keisler Dr Ste 101, Cary, NC 27518 2018-05-25
1164912093 Cary Dental Rejuvenation Dentist 155 Parkway Office Court, Suite 104, Cary, NC 27518 2018-05-16
1104337021 Kaylah Mckinley Black Nurse Practitioner 530 New Waverly Pl Ste 301, Cary, NC 27518 2017-10-18
1013442961 Amber Pinsky Occupational Therapist 5310 Woodfield Lake Road, Cary, NC 27518 2017-04-28
1750733564 Maureen Lyons Reardon Psychologist 2500 Regency Parkway, Cary, NC 27518 2016-07-05
1730539651 Anna Liakh Dentist 8204 Tryon Woods Dr, Cary, NC 27518 2016-06-21
1609236173 Matthew John Myschisin II Chiropractor 4312 Farm Brook Dr, Cary, NC 27518 2016-02-26
1003299405 Amanda Lee Morris Social Worker 531 Keisler Dr Ste 104, Cary, NC 27518 2015-07-02
1053791343 Duke University Affiliated Physicians Family Medicine 530 Waverly Place, Suite 101, Cary, NC 27518 2015-06-02
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568076222 Raleigh Holistic Healthcare Internal Medicine 875 Walnut St Ste 275-9, Cary, NC 27511-4215 2020-09-01
1134682792 Carolinas Weight Loss & Personailzed Care Internal Medicine 210 New Edition Ct, Cary, NC 27511-4451 2019-04-10
1962900043 Michael Klepper Internal Medicine 102 Lulworth Ct, Cary, NC 27519-6652 2018-01-24
1225494156 Vester Walker Jr. Internal Medicine 301 Versailles Dr, Cary, NC 27511-6012 2016-01-07
1417327818 Nirupama B Shah Internal Medicine 100 Escher Ln, Cary, NC 27511-4851 2015-09-29
1083017693 Jennings Ray Dawkins Internal Medicine 103 Great Point Pl, Cary, NC 27513-2969 2014-09-27
1619225240 Elizabeth Anne Campbell Internal Medicine 120 Braelands Drive, Cary, NC 27518-8972 2012-08-29
1548528375 Ryan Keith Brown Internal Medicine 530 New Waverly Pl Ste 200, Cary, NC 27518-7414 2012-04-30
1013214998 William V. Lorimer, M.d. Pllc Internal Medicine 661 Lipford Dr, Cary, NC 27519-7073 2011-02-11
1780980219 Carolina Pulmonary & Sleep Clinic Pllc Internal Medicine 3750 Nw Cary Pkwy Ste 120, Cary, NC 27513-8432 2011-01-31
Find all providers in CARY

Competitor

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City CARY
Zip Code 27518

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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