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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5950769 | 05 |
Other Name | Type Code |
---|---|
Capital Orthopedic & Sports Medicine | 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 |
401 KEISLER DR |
City | CARY |
State | NC |
Zip Code | 27518-7084 |
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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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 |
Find all providers in zip 27518 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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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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.