PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1518262617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518262617 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | ALAMANCE REGIONAL MEDICAL CENTER, INC. |
| Practice Address |
1236 Huffman Mill Rd Suite 120 Burlington NC 27215-8700 |
| Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
| Practice Telephone | 3365387725 |
| Practice Fax Number | 3365387785 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | MR. MARK L CANTRELL (CHIEF PRIVACY & COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9196685161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Alamance Regional Medical Center, Inc. | 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 |
1236 HUFFMAN MILL RD SUITE 120 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791257 | Philip H. Lavine | Psychiatry & Neurology | 1236 Huffman Mill Rd, Ste 2200, Burlington, NC 27215-8700 | 2005-06-21 |
| 1578057345 | Lauren Grant Allen | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-06-15 |
| 1063924660 | Jennifer Elizabeth Burns | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-11-04 |
| 1710412762 | Dana Graves Blakeney | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-04-27 |
| 1407391766 | Bincy Samuel Varughese | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2016-12-22 |
| 1538601257 | Moses Cone Physician Services, Inc | Anesthesiology | 1236 Huffman Mill Rd, Suite 2000, Burlington, NC 27215-8700 | 2016-11-11 |
| 1598154411 | Glenn Chrystal | Radiology | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2015-01-15 |
| 1891191318 | Cynthia L. Porfilio | Physical Therapist | 1236 Huffman Mill Rd, Suite 1300, Burlington, NC 27215-8700 | 2014-11-11 |
| 1043636780 | Unc Physicians Network LLC | Urology | 1236 Huffman Mill Rd, Suite 2550, Burlington, NC 27215-8700 | 2014-03-05 |
| 1053751586 | Unc Physicians Network, LLC | Urology | 1236 Huffman Mill Rd, Suite 2550, Burlington, NC 27215-8700 | 2013-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1437391125 | David A Kleiman | Surgery | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-4870 | 2009-03-27 |
| 1699968933 | Charles T Woodham | Surgery | 1236 Huffman Mill Rd Ste 2900, Burlington, NC 27215-8700 | 2007-08-21 |
| 1295751949 | Mohamed Elhassan Akoad | Surgery | 41 Mall Rd Ste 4w, Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2006-07-14 |
| 1629058342 | Ted A James | Surgery | Fahc Vt Cancer Center, Colchester Ave, Burlington, VT 05401 | 2006-01-19 |
| 1467455295 | Jeffrey William Byrnett | Surgery | 1041 Kirkpatrick Rd, Ste 150, Burlington, NC 27215-8068 | 2005-05-24 |
| 1932713492 | Byrnett Surgical Associates Pllc | Surgery | 1248 Huffman Mill Rd Ste 200, Burlington, NC 27215-8700 | 2020-09-02 |
| 1215564000 | Solomon Feuerwerker | Surgery | 111 Colchester Avenue, Main Campus, Main Pavilion, Level 5, Burlington, VT 05401-1473 | 2020-03-24 |
| 1396231874 | Tiare Kaiulani Pimentel | Surgery | 41 Burlington Mall Road, Burlington, MA 01805-0001 | 2018-07-07 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.