PRIVATE DIAGNOSTIC CLINIC, PLLC


Address: 23 Sunnybrook Rd, Raleigh, NC 27610-1855
Phone: 9198625750

PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1336462191) 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) 1336462191
Entity Type Organization
Organization Name PRIVATE DIAGNOSTIC CLINIC, PLLC
Other Organization Name DUKE CHILDREN'S SPECIALTY SERVICES
Practice Address 23 Sunnybrook Rd
Raleigh
NC 27610-1855
Mailing Address Po Box 63362
Charlotte
NC 28263-3362
Practice Telephone 9198625750
Practice Fax Number 9198625755
Mailing Telephone 9196204668
Enumeration Date 2010-03-09
Last Update Date 2014-05-15
Authorized Official Name PAUL R NEWMAN (EXECUTIVE DIRECTOR, PDC)
Authorized Official Telephone 9196137652
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians
N 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Duke Children's Specialty Services 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 23 SUNNYBROOK RD
City RALEIGH
State NC
Zip Code 27610-1855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386648756 James A Scovil Legal Medicine 23 Sunnybrook Rd, Ste 109, Raleigh, NC 27610-1855 2005-06-13
1861030371 Macon Louise Cornick Guidry Dietitian, Registered 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-12-16
1679129720 Amelia Willis Nurse Practitioner 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-08-14
1497307334 Wakemed Specialists Group LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-07-11
1336704766 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1265097695 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1245895697 Wakemed Specialists Group, LLC Counselor 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1982269346 Wakemed Specialists Group, LLC Surgery 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1962067314 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1659934511 Wake Specialty Physicians, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174165187 Breana Lee Chappuis Pediatrics 4605 Lord Mario Ct, Raleigh, NC 27610-8718 2019-10-10
1295217008 Centricity Care, Pllc Pediatrics 2417 Bryarton Woods Dr, Raleigh, NC 27606-4022 2018-08-29
1073914024 Little Oaks Pediatrics, Pllc Pediatrics 13200 Strickland Rd Ste 120, Raleigh, NC 27613-5212 2014-09-09
1700144649 Brett L Maclean Pediatrics 5240 Knollwood Rd, Raleigh, NC 27609-4512 2012-04-29
1134412943 Michael David Brown Pediatrics 3000 Newbern Ave, Dept of Pediatrics, Raleigh, NC 27610 2011-05-26
1801041157 James Gordon Still Pediatrics 4816 Oak Way, Raleigh, NC 27613-6346 2008-11-28
1427231943 Mdfamily Medical Group Pediatrics 1100 N Raleigh Blvd Ste 111, Raleigh, NC 27610-1076 2007-12-06
1144415340 Elizabeth Ann Briere Pediatrics 260 Horizon Dr, Raleigh, NC 27615-4922 2007-09-11
1285831347 Mia N Armstrong Pediatrics 23 Sunnybrook Rd Ste 116, Raleigh, NC 27610-7401 2007-06-29
1558405498 Ceyhun Ozturk Pediatrics 13200 Strickland Rd, Suite 120, Raleigh, NC 27613-5212 2007-02-16
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27610

Improve Information

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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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