PRIVATE DIAGNOSTIC CLINIC, PLLC


Address: 401 Keisler Dr, Cary, NC 27518-7084
Phone: 9198515880

PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1992033617) 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) 1992033617
Entity Type Organization
Organization Name PRIVATE DIAGNOSTIC CLINIC, PLLC
Other Organization Name CAPITAL ORTHOPEDIC & SPORTS MEDICINE
Practice Address 401 Keisler Dr
Cary
NC 27518-7084
Mailing Address Po Box 63362
Charlotte
NC 28263-3362
Practice Telephone 9198515880
Mailing Telephone 9196848111
Enumeration Date 2009-11-19
Last Update Date 2011-12-09
Authorized Official Name MR. MARK L CANTRELL (CHIEF PRIVACY & COMPLIANCE OFFICER)
Authorized Official Telephone 9196685161
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5950769 05

Other Provider/Organization Names

Other Name Type Code
Capital Orthopedic & Sports Medicine 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 401 KEISLER DR
City CARY
State NC
Zip Code 27518-7084

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407824808 Christin Lynn Simpson Psychologist 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 2006-03-10
1316470156 Emily Summer Padian Dietitian, Registered 401 Keisler Dr, 101, Cary, NC 27518-7084 2017-04-08
1275996167 Wake Wellness Clinic/Center 401 Keisler Dr, Cary, NC 27518-7084 2016-03-30
1598149502 Western Wake Wellness Family Medicine 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 2015-07-20
1396148367 Priscilla Evans Naturopath 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 2014-10-03
1871914366 Ivy Todd Physician Assistant 401 Keisler Dr, Ste. 101, Cary, NC 27518-7084 2013-12-30
1316280415 Raleigh Durham Medical Group, Pa Family Medicine 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 2013-03-27
1982849725 David L. Peters Acupuncturist 401 Keisler Dr, Suite 100, Cary, NC 27518-7084 2008-12-08
1821277997 Allergy, Asthma & Sinus Center, P.a. Allergy & Immunology 401 Keisler Dr, Cary, NC 27518-7084 2007-10-25
1831113307 Gurdev Singh Judge Allergy & Immunology 401 Keisler Dr, Suite 201, Cary, NC 27511-7084 2006-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932730801 Fuller & Associates Iv, Pllc Dentist 3420 Ten-ten Road, Suite 310, Cary, NC 27518 2020-01-30
1649761602 Uday N Reebye, Md. Dmd, Pa Dentist 431 Keisler Dr Ste 101, Cary, NC 27518 2018-05-25
1164912093 Cary Dental Rejuvenation Dentist 155 Parkway Office Court, Suite 104, Cary, NC 27518 2018-05-16
1104337021 Kaylah Mckinley Black Nurse Practitioner 530 New Waverly Pl Ste 301, Cary, NC 27518 2017-10-18
1013442961 Amber Pinsky Occupational Therapist 5310 Woodfield Lake Road, Cary, NC 27518 2017-04-28
1750733564 Maureen Lyons Reardon Psychologist 2500 Regency Parkway, Cary, NC 27518 2016-07-05
1730539651 Anna Liakh Dentist 8204 Tryon Woods Dr, Cary, NC 27518 2016-06-21
1609236173 Matthew John Myschisin II Chiropractor 4312 Farm Brook Dr, Cary, NC 27518 2016-02-26
1003299405 Amanda Lee Morris Social Worker 531 Keisler Dr Ste 104, Cary, NC 27518 2015-07-02
1053791343 Duke University Affiliated Physicians Family Medicine 530 Waverly Place, Suite 101, Cary, NC 27518 2015-06-02
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366042244 University of North Carolina At Chapel Hill Orthopaedic Surgery 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 2020-10-29
1649686577 Wake Specialty Physicians, LLC Orthopaedic Surgery 222 Ashville Ave Ste 20, Cary, NC 27518-6130 2014-07-11
1225336548 Orthopaedic Specialists of North Carolina, P.a. Orthopaedic Surgery 401 Keisler Dr Ste 101, Cary, NC 27518-7084 2011-03-10
1902844665 Edouard F Armour Orthopaedic Surgery 1120 Se Cary Pkwy Ste 100, Cary, NC 27518-7413 2006-06-03
1578546644 Stephen Graham Struble Orthopaedic Surgery 115 Parkway Office Ct, Suite 101, Cary, NC 27518-7423 2005-11-22
1184622052 Raymond Mckay Carroll Orthopaedic Surgery 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 2005-07-13
1093370249 Wakemed Specialists Group, LLC Orthopaedic Surgery 222 Ashville Ave Ste 20, Cary, NC 27518-6130 2019-05-03
1124356423 Total Joint Care, Pa Orthopaedic Surgery 115 Parkway Office Ct, Suite 101, Cary, NC 27518-7423 2009-11-24
1144464918 Performance Orthopaedic Surgery & Sports Medicine Orthopaedic Surgery 3701 Nw Cary Parkway, Suite 305, Cary, NC 27513-8341 2009-04-23
1720231749 Nael Shanti Orthopaedic Surgery 1110 Se Cary Pkwy, Suite 103, Cary, NC 27518-7420 2008-11-04
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City CARY
Zip Code 27518

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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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