PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1568873768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568873768 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | PREMIER WOMEN'S HEALTH PROFESSIONALS |
| Practice Address |
1209 Se Industry Dr Oxford NC 27565 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 2524928576 |
| Mailing Telephone | 9196204668 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | CHRISTOPHER T FREDERICK (CFO) |
| Authorized Official Telephone | 9196204668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Premier Women's Health Professionals | 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 |
1209 SE INDUSTRY DR |
| City | OXFORD |
| State | NC |
| Zip Code | 27565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009996 | Estena P Bradley | Nurse Practitioner | 1209 Se Industry Dr, Oxford, NC 27565 | 2006-01-30 |
| 1285282947 | Alyson Ringle | Registered Nurse | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2019-08-27 |
| 1629447396 | Dlp Maria Parham Physician Practices LLC | Internal Medicine | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2015-09-23 |
| 1861878324 | Emma White | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2015-08-07 |
| 1841559432 | Karen Milne Maclean | Advanced Practice Midwife | 1209 Se Industry Dr, Oxford, NC 27565 | 2012-05-16 |
| 1427285691 | Syreeta Alston Tucker | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27536 | 2009-06-16 |
| 1477579035 | Cara Cameron | Advanced Practice Midwife | 1209 Se Industry Dr, Oxford, NC 27565 | 2006-07-15 |
| 1578524724 | Stephanie J Brogden | Specialist | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023294527 | Samuel Ward Cole | Obstetrics & Gynecology | 2610 South Lamar Blvd, Oxford, MS 38655 | 2008-01-14 |
| 1063456747 | Phillip C Carr | Obstetrics & Gynecology | 10 N Locust St Ste C, Oxford, OH 45056-1182 | 2006-06-15 |
| 1134108434 | Carolina Womens Center Pa | Obstetrics & Gynecology | 1018 College Street, Oxford, NC 27565 | 2006-01-13 |
| 1508845801 | James Weldon Hampton | Obstetrics & Gynecology | 1209 Se Industry Drive, Oxford, NC 27565 | 2006-01-13 |
| 1609855907 | James Andrew Mccarthy Sr. | Obstetrics & Gynecology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2006-01-13 |
| 1023099843 | Lana D Powell | Obstetrics & Gynecology | 51 S Washington St, Suite E, Oxford, MI 48371 | 2005-11-09 |
| 1407844202 | Marion Glenn Hunt | Obstetrics & Gynecology | 1204 Medical Park Dr, Oxford, MS 38655-5326 | 2005-10-06 |
| 1346235850 | Ronald Blake Smith | Obstetrics & Gynecology | 2610 S Lamar Blvd, Oxford, MS 38655-5243 | 2005-09-12 |
| 1861878324 | Emma White | Obstetrics & Gynecology | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2015-08-07 |
| 1851782973 | James A Mccarthy Md, Pllc | Obstetrics & Gynecology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2015-02-11 |
| Find all providers in OXFORD | ||||
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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.