PRIVATE DIAGNOSTIC CLINIC PLLC (NPI# 1336416460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336416460 |
Entity Type | Organization |
Organization Name | PRIVATE DIAGNOSTIC CLINIC PLLC |
Other Organization Name | CANCER CENTER |
Practice Address |
20 Duke Medicine Circle Durham NC 27710-2000 |
Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
Practice Telephone | 9196848111 |
Mailing Telephone | 9196848111 |
Enumeration Date | 2011-11-17 |
Last Update Date | 2011-12-09 |
Authorized Official Name | MARK L CANTRELL (CHIEF COMPLIANCE OFFICIER) |
Authorized Official Telephone | 9196685161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Cancer Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
1811472582 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 3000 Rogers Rd, Wake Forest, NC 27587-3800 | 2018-09-28 |
1245715986 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 162 Legacy Oaks Dr, Knightdale, NC 27545-6556 | 2018-09-28 |
1831416593 | Private Diagnostic Clinic Pllc | Dentist | 2711 N Duke St, Suite A, Durham, NC 27704-2619 | 2010-04-21 |
1730267089 | Private Diagnostic Clinic Pllc | Physical Therapist | 1005 Slater Rd, Oxford Place Suite 120, Durham, NC 27703-8448 | 2006-11-02 |
Street Address |
20 DUKE MEDICINE CIRCLE |
City | DURHAM |
State | NC |
Zip Code | 27710-2000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982688370 | William Robert Lee | Radiology | 20 Duke Medicine Circle, Duke Medical Center Department of Radiation Oncology, Durham, NC 27710 | 2005-11-30 |
1093332637 | Ann Hill | Dietitian, Registered | 20 Duke Medicine Circle, Durham, NC 27708-0001 | 2020-06-30 |
1275924268 | Mallika Weant | Pharmacist | 20 Duke Medicine Circle, Duke Cancer Center, Durham, NC 27710-0001 | 2015-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
Find all providers in zip 27710 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457513137 | Melissa L Pabalan | Allergy & Immunology | 3643 N Roxboro St, Durham, NC 27704-2702 | 2008-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083854251 | Blue Ridge Healthcare Medical Group, Inc. | Allergy & Immunology | 352-b East Parker Road, Morganton, NC 28655 | 2009-03-02 |
1821037524 | Vandana K. Patel | Allergy & Immunology | 8045 Providence Rd, Suite 300, Charlotte, NC 28277-8915 | 2006-06-06 |
1285697789 | Peter B. Bressler Md Pa | Allergy & Immunology | 5915 Farrington Rd, Suite 106, Chapel Hill, NC 27517-9900 | 2006-04-07 |
1275506909 | James Zechman | Allergy & Immunology | 2417 Neuse Blvd, New Bern, NC 28562-3331 | 2006-02-13 |
1336129410 | Robert Christopher Van Winkle | Allergy & Immunology | 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410-9682 | 2006-01-17 |
1508867417 | Metropolitan Ent & Allergy Centre | Allergy & Immunology | 2011 Falls Valley Dr, Suite 100, Raleigh, NC 27615-3451 | 2005-08-02 |
1639493026 | Allergy & Asthma Associates Pa | Allergy & Immunology | 912 2nd St Ne, Hickory, NC 28601-3851 | 2010-03-15 |
1598916777 | Cape Fear Otolaryngology, Pa | Allergy & Immunology | 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304-3688 | 2008-10-06 |
1578759593 | James M Zechman PC | Allergy & Immunology | 2417 Neuse Blvd, New Bern, NC 28562 | 2007-09-24 |
1417005034 | Ranjan Sharma | Allergy & Immunology | 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410-9682 | 2007-01-08 |
Find all providers with the same taxonomy |
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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.