PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1285916635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285916635 |
Entity Type | Organization |
Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
Other Organization Name | DUKE EYE CENTER AT PAGE ROAD |
Practice Address |
4709 Creekstone Dr Suite 100 Durham NC 27703-8411 |
Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
Practice Telephone | 9196605060 |
Mailing Telephone | 9196848111 |
Mailing Fax Number | 9196204921 |
Enumeration Date | 2011-09-12 |
Last Update Date | 2011-12-09 |
Authorized Official Name | MR. MARK L. CANTRELL (CHIEF PRIVACY & COMPLIANCE OFFICER) |
Authorized Official Telephone | 9196848111 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Duke Eye Center at Page Road | 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 |
4709 CREEKSTONE DR SUITE 100 |
City | DURHAM |
State | NC |
Zip Code | 27703-8411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316902398 | Jessica Kristen Allen | Physician Assistant | 4709 Creekstone Dr, Durham, NC 27703-8411 | 2006-04-20 |
1073161196 | Chelsea Espinoza | Occupational Therapist | 4709 Creekstone Dr, Durham, NC 27703-9822 | 2019-09-02 |
1396305496 | Jennifer Trahan | Physical Therapist | 4709 Creekstone Dr, Durham, NC 27703-9822 | 2019-06-19 |
1437621679 | Hannah Aldridge | Specialist/Technologist | 4709 Creekstone Dr, Durham, NC 27703-9822 | 2018-12-28 |
1699211920 | Bryan Hoch | Physical Therapist | 4709 Creekstone Dr, Duke Page Rd Pt/ Ot, Durham, NC 27703-9822 | 2017-01-10 |
1417402462 | Private Diagnostic Clinic, Pllc | Prosthetic/Orthotic Supplier | 4709 Creekstone Dr, Suite 300, Durham, NC 27703-9822 | 2016-08-19 |
1679940811 | Lucy Margaret Beatty | Occupational Therapist | 4709 Creekstone Dr, Durham, NC 27703-9822 | 2015-08-24 |
1295174498 | Martha Sizemore Aitken | Nurse Practitioner | 4709 Creekstone Dr, Durham, NC 27703-8411 | 2013-06-20 |
1730473869 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 4709 Creekstone Dr, Suite 300, Durham, NC 27703-8411 | 2011-06-07 |
1518271279 | Yos M Priestley | Optometrist | 4709 Creekstone Dr, Ste 100, Durham, NC 27703-8411 | 2010-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
Find all providers in zip 27703 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
1114260163 | Jay Berdia | Ophthalmology | 2531 Erwin Rd, Durham, NC 27705 | 2013-03-28 |
1912266404 | Andrew Freeman Perin | Ophthalmology | 2351 Erwin Road/hudson Building, Duke Eye Center, Attn: Andrew Perin, Md, Durham, NC 27705 | 2012-05-03 |
1184980609 | Varsha Manjunath | Ophthalmology | 270 Leigh Farm Rd, Apt 408, Durham, NC 27707-8137 | 2012-04-10 |
1043449218 | Zena I-linn Lim | Ophthalmology | Duke University Medical Center 3802, 2351 Erwin Road, Durham, NC 27710-0001 | 2009-07-09 |
1831356716 | Anna Hong Bordelon | Ophthalmology | 2351 Erwin Road Dumc Box 3802, Durham, NC 27710-0001 | 2008-05-19 |
1023285988 | Preeya Kshettry Gupta | Ophthalmology | 2351 Erwin Rd # Dumc3802, Durham, NC 27705-4699 | 2008-05-09 |
1871777953 | Sasapin Grace Prakalapakorn | Ophthalmology | 2351 Erwin Rd; Dumc 3802, Duke Eye Center; Attn: Kimberly Horton, Durham, NC 27710-0001 | 2007-12-25 |
1326247545 | Joseph Nissim Martel | Ophthalmology | Duke Eye Ctr, Dumc 3802, Durham, NC 27710-0001 | 2007-07-17 |
Find all providers in DURHAM |
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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.