PRIVATE DIAGNOSTIC CLINIC (NPI# 1639617392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639617392 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC |
| Other Organization Name | DUKE CHILDREN'S PRIMARY CARE BRIER CREEK |
| Practice Address |
10211 Alm St Suite 200 Raleigh NC 27617-8221 |
| Practice Telephone | 9193070301 |
| Practice Fax Number | 9193070323 |
| Mailing Telephone | 9193070301 |
| Mailing Fax Number | 9193070323 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | KENNI WATKINS (FINANICAL CARE COUNSLOR) |
| Authorized Official Telephone | 9193070301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1881778785 | NC | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1760566624 | NC | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1386819795 | NC | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1134395114 | NC | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1598007866 | NC | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1447306113 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DUKE CHILDREN'S PRIMARY CARE BRIER CREEK | Doing Business As Name - Organization |
| 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 |
10211 ALM ST SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27617-8221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001484 | Soenda P Norman | Family Medicine | 10211 Alm St, Suite 1200, Raleigh, NC 27617-8221 | 2005-08-31 |
| 1023635752 | Hayley Lynn Hedges | Physical Therapist | 10211 Alm St, Raleigh, NC 27617-8221 | 2020-06-29 |
| 1588141147 | Jillian Paige Meyer | Physical Therapist | 10211 Alm St, Raleigh, NC 27617-8221 | 2018-07-25 |
| 1508383506 | Koren R Wagner | Physical Therapist | 10211 Alm St, Raleigh, NC 27617-8221 | 2017-08-29 |
| 1255857595 | Sara Wilson | Physician Assistant | 10211 Alm St, Raleigh, NC 27617-8221 | 2017-08-18 |
| 1477099471 | Private Diagnositc Clinic | Clinic/Center | 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 | 2017-01-13 |
| 1982083986 | Alexandra Dionne Hill | Physical Therapist | 10211 Alm St, Raleigh, NC 27617-8221 | 2015-05-22 |
| 1427453364 | Neha Desai | Nurse Practitioner | 10211 Alm St, Suite 1100, Raleigh, NC 27617-8221 | 2014-11-04 |
| 1194156463 | Jocelyn Sky Rothbart | Physical Therapist | 10211 Alm St, Suite 203, Raleigh, NC 27617-8221 | 2013-12-11 |
| 1568701050 | Jamie Stabile Smith | Physician Assistant | 10211 Alm St, Suite 1200, Raleigh, NC 27617-8221 | 2013-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1568006310 | Aubrey Nicole Stephenson | Dietitian, Registered | 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 | 2019-11-05 |
| 1982114567 | Method Manual Physical Therapy and Wellness LLC | Physical Therapist | 9244 Miranda Drive, Raleigh, NC 27617 | 2017-10-09 |
| 1588182539 | Aqsa Salman | Counselor | 11736 Dellcain Court, Raleigh, NC 27617 | 2017-08-30 |
| 1962942326 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 10440 Glenwood, Durham, NC 27617 | 2017-03-06 |
| 1457896037 | Emergeortho Pa | Durable Medical Equipment & Medical Supplies | 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 | 2017-01-05 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
| 1821457789 | Acariahealth Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7231 Acc Blvd Ste 103, Raleigh, NC 27617 | 2016-02-19 |
| 1033583760 | America Alisha Allen | Social Worker | 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 | 2015-11-18 |
| Find all providers in zip 27617 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326802 | Essential Health & Wellness Raleigh | Clinic/Center | 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615-3451 | 2017-10-05 |
| 1932571809 | Horizon Family Medicine | Clinic/Center | 308 S Blount St, Apartment 403, Raleigh, NC 27601-3102 | 2015-10-30 |
| 1093146177 | Med One | Clinic/Center | 2431 Spring Forest Rd Ste 111, Raleigh, NC 27615-7525 | 2013-11-27 |
| 1255771119 | Neighborhealth Center, Inc. | Clinic/Center | 4201 Lake Boone Trl Ste 5, Raleigh, NC 27607-7511 | 2013-06-25 |
| 1821266198 | Octavian M. Belcea, Md Pa | Clinic/Center | 2810 Wakefield Pines Dr Ste 115, Raleigh, NC 27614-7078 | 2008-02-20 |
| 1861678120 | Daniel T Sicking Md Pa | Clinic/Center | 14341 New Falls of Neuse Ste 100, Raleigh, NC 27614-8292 | 2008-01-17 |
| 1649352162 | Smartcare Operations Group, Inc. | Clinic/Center | 6140 Falls of The Neuse Road, Raleigh, NC 27609 | 2006-10-20 |
| 1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
| 1477099471 | Private Diagnositc Clinic | Clinic/Center | 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 | 2017-01-13 |
| 1508318114 | Sentinel Primary Care | Clinic/Center | 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 | 2016-10-30 |
| Find all providers in RALEIGH | ||||
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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.