PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1083168181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083168181 |
Entity Type | Organization |
Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
Other Organization Name | BRIER CREEK NEPHROLOGY |
Practice Address |
10207 Cerny St Ste 306 Raleigh NC 27617-4879 |
Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
Practice Telephone | 9194052341 |
Practice Fax Number | 9196609201 |
Mailing Telephone | 9196204918 |
Enumeration Date | 2016-08-08 |
Last Update Date | 2016-08-08 |
Authorized Official Name | CHRISTOPHER T FREDERICK (CFO) |
Authorized Official Telephone | 9196204918 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Brier Creek Nephrology | 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 |
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 |
1770600363 | Private Diagnostic Clinic, Pllc | Internal Medicine | 95 Springbrook Ave, Suite 111, Clayton, NC 27520-8520 | 2007-03-26 |
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 |
10207 CERNY ST STE 306 |
City | RALEIGH |
State | NC |
Zip Code | 27617-4879 |
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 | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1508360462 | North Carolina Nephrology Pa | Internal Medicine | 3604 Bush St Fl 2, Raleigh, NC 27609-7511 | 2018-03-23 |
1104841436 | Karn Gupta | Internal Medicine | 3604 Bush Street, Raleigh, NC 27609 | 2006-07-13 |
1932101177 | Jeffrey Gordon Hoggard | Internal Medicine | 3031 New Bern Ave, Suite 100, Raleigh, NC 27610-1214 | 2005-06-01 |
1750835336 | North Carolina Nephrology Pa | Internal Medicine | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 | 2016-08-11 |
1699069948 | Robert Edward Olivo | Internal Medicine | 3604 Bush St, Raleigh, NC 27609-7511 | 2011-06-03 |
1902087570 | Libbie Parker Mckenzie | Internal Medicine | Central Prison, 1300 Western Blvd, Raleigh, NC 27606 | 2007-11-23 |
1295951036 | So Yoon Jang | Internal Medicine | 3031 New Bern Ave, Ste. 306, Raleigh, NC 27610-2988 | 2007-04-18 |
1376769893 | Adam Stern | Internal Medicine | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2988 | 2007-04-17 |
1700971173 | Eric Warren Raasch | Internal Medicine | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2988 | 2006-10-03 |
1831129675 | Capital Nephrology Associates, Pa | Internal Medicine | 3031 New Bern Ave, Ste 306, Raleigh, NC 27610-2989 | 2006-07-04 |
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.