PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1013940295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013940295 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | DUKE HEALTH CENTER OF CARY |
| Practice Address |
3700 Nw Cary Pkwy Suite 100 Cary NC 27513-8446 |
| Mailing Address |
Po Box 900002 Raleigh NC 27675-9000 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | JOHN PAUL DION (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9196137762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS GRP | 017XM | 01 |
| TRICARE GRP | 1029437093 | 01 |
| Other Name | Type Code |
|---|---|
| Duke Health Center of Cary | 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 |
3700 NW CARY PKWY SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27513-8446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543049 | Laura Elizabeth Hudak | Physical Therapist | 3700 Nw Cary Pkwy, Suite 110, Cary, NC 27513-8446 | 2005-10-25 |
| 1912448366 | Julie Davison Phillippi | Specialist/Technologist | 3700 Nw Cary Pkwy, Cary, NC 27513-8446 | 2017-03-18 |
| 1780097618 | Duke University Health System Inc | Radiology | 3700 Nw Cary Pkwy, Suite 120 Room 120, Cary, NC 27513-8446 | 2014-06-09 |
| 1750701082 | Duke University Health System, Inc. | Radiology | 3700 Nw Cary Pkwy, Suite 120 Room 110, Cary, NC 27513-8446 | 2014-04-25 |
| 1134551807 | Patrick Thomas Ward | Physical Therapist | 3700 Nw Cary Pkwy, Suite 110, Cary, NC 27513-8446 | 2013-08-05 |
| 1942553219 | Hillary Hays Weissinger | Physician Assistant | 3700 Nw Cary Pkwy, Suite 110, Cary, NC 27513-8446 | 2012-10-23 |
| 1437400280 | Private Diagnostic Clinic, Pllc | Family Medicine | 3700 Nw Cary Pkwy, Ste. 110, Cary, NC 27513-8446 | 2012-09-19 |
| 1427326545 | Amanda Nicole Fitterer | Specialist/Technologist | 3700 Nw Cary Pkwy, Suite 110, Cary, NC 27513-8446 | 2011-12-03 |
| 1689960445 | James Richard Davis | Specialist/Technologist | 3700 Nw Cary Pkwy, Cary, NC 27513-8446 | 2011-06-21 |
| 1851600654 | Marci Elizabeth Siebeking | Physical Therapist | 3700 Nw Cary Pkwy, Suite 110, Cary, NC 27513-8446 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1134682792 | Carolinas Weight Loss & Personailzed Care | Internal Medicine | 210 New Edition Ct, Cary, NC 27511-4451 | 2019-04-10 |
| 1962900043 | Michael Klepper | Internal Medicine | 102 Lulworth Ct, Cary, NC 27519-6652 | 2018-01-24 |
| 1225494156 | Vester Walker Jr. | Internal Medicine | 301 Versailles Dr, Cary, NC 27511-6012 | 2016-01-07 |
| 1417327818 | Nirupama B Shah | Internal Medicine | 100 Escher Ln, Cary, NC 27511-4851 | 2015-09-29 |
| 1083017693 | Jennings Ray Dawkins | Internal Medicine | 103 Great Point Pl, Cary, NC 27513-2969 | 2014-09-27 |
| 1619225240 | Elizabeth Anne Campbell | Internal Medicine | 120 Braelands Drive, Cary, NC 27518-8972 | 2012-08-29 |
| 1548528375 | Ryan Keith Brown | Internal Medicine | 530 New Waverly Pl Ste 200, Cary, NC 27518-7414 | 2012-04-30 |
| 1013214998 | William V. Lorimer, M.d. Pllc | Internal Medicine | 661 Lipford Dr, Cary, NC 27519-7073 | 2011-02-11 |
| 1780980219 | Carolina Pulmonary & Sleep Clinic Pllc | Internal Medicine | 3750 Nw Cary Pkwy Ste 120, Cary, NC 27513-8432 | 2011-01-31 |
| Find all providers in CARY | ||||
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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.