PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1205150380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205150380 |
Entity Type | Organization |
Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
Other Organization Name | DUKE RALEIGH HOSPITAL (PDC) |
Practice Address |
3400 Wake Forest Rd Raleigh NC 27609-7317 |
Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
Practice Telephone | 9199543000 |
Mailing Telephone | 9196848111 |
Enumeration Date | 2010-03-18 |
Last Update Date | 2011-12-09 |
Authorized Official Name | MR. MARK L CANTRELL (CHIEF PRIVACY & COMPLIANCE OFFICER) |
Authorized Official Telephone | 9196685161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Duke Raleigh Hospital (PDC) | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PRIVATE DIAGNOSTIC CLINIC, PLLC | Duke University Medical Center, Durham, NC 27710-0001 |
Street Address |
3400 WAKE FOREST RD |
City | RALEIGH |
State | NC |
Zip Code | 27609-7317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013916352 | Duke University Health System Inc | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2005-07-19 |
1023632742 | Rebecca D Griffin | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-05-29 |
1013536366 | Melaine Roushini Rajanayagam | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-15 |
1902435969 | Corey Michael Grindo | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-02 |
1659906303 | Nicholas P Glover | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-03-03 |
1982247292 | Coral Elyse Stevens Hodges | Neurological Surgery | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-21 |
1205477676 | Joana Lule | Hospitalist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-07 |
1780235119 | Melissa V Moreda | Clinical Nurse Specialist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-09-26 |
1871159202 | Lindsey Theresa Hanley | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-05-10 |
1538629829 | Megan Childs | Student in an Organized Health Care Education/Training Program | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
Find all providers in zip 27609 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265506182 | John Keven Griffith | Internal Medicine | 3421 Harden Rd, Raleigh, NC 27607-3305 | 2006-11-20 |
1952485005 | Ted Kunstling | Internal Medicine | 3320 Wake Forest Rd Ste 200a, Raleigh, NC 27609-7300 | 2006-10-25 |
1063444602 | Glenn D Crater | Internal Medicine | 1390 Capital Blvd, Raleigh, NC 27603-1118 | 2006-07-06 |
1245894898 | Wakemed Specialists Group LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-30 |
1144625658 | Ahmed Sesay | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610 | 2014-10-27 |
1154732196 | Wake Specialty Physicians, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2014-05-13 |
1861777468 | Rex Hospital Inc | Internal Medicine | 4414 Lake Boone Trl, Suite 402, Raleigh, NC 27607-7513 | 2011-10-14 |
1790075810 | Sara Meehan | Internal Medicine | 4420 Lake Boone Trl, Raleigh, NC 27607 | 2011-04-11 |
1063716447 | Rex Physicians LLC | Internal Medicine | 2800 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6478 | 2010-12-29 |
1336462191 | Private Diagnostic Clinic, Pllc | Internal Medicine | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2010-03-09 |
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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.