PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1780827089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780827089 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | DUKE RADIOLOGY OF RALEIGH |
| Practice Address |
114 Wind Chime Ct Raleigh NC 27615-6433 |
| Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
| Practice Telephone | 9198476431 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2011-12-08 |
| 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 | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Duke Radiology of Raleigh | 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 |
114 WIND CHIME CT |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959960 | Marc Finkel | Nuclear Medicine | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-02-02 |
| 1083703359 | Morgan Camp | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-10-12 |
| 1225090772 | Tedric Dale Boyse | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-04-03 |
| 1629038229 | Capital Radiology Associates, P.a. | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-03-27 |
| 1083683726 | Vernon Watson Pugh IIi | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-03-15 |
| 1386610590 | Wade Hauser Moser Jr. | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-02-27 |
| 1770556763 | Alan Lee Rosen | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-02-09 |
| 1245202878 | Robert Cheatham Vogler | Radiology | 114 Wind Chime Ct, Raleigh, NC 27615-6433 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1598956385 | Athena Radiology Solutions | Radiology | 8309 Six Forks Rd, Suite 101, Raleigh, NC 27615-2096 | 2007-08-06 |
| 1174738082 | Janine Beeson | Radiology | 1121 Situs Ct, Ste 170, Raleigh, NC 27606-4279 | 2007-05-14 |
| 1780669986 | John Andrew Bardini | Radiology | 3200 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8086 | 2005-12-09 |
| 1699769315 | Richard B Clinton | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2005-09-08 |
| 1689086878 | Ryan Stephens | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-22 |
| 1326468893 | Nicole A Keefe | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2014-04-23 |
| 1750708913 | Ashley Nicole Oladipo | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-03-26 |
| 1063854354 | Christopher Alan Hallmark | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-07-26 |
| 1073855318 | Sejal Narendra Patel | Radiology | 3400 Wake Forest Rd, Raleigh, NC 27609 | 2013-03-25 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on PRIVATE DIAGNOSTIC CLINIC, PLLC.
| 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.