PRIVATE DIAGNOSTIC CLINIC, PLLC (NPI# 1669713590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669713590 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | DUKE ASTHMA, ALLERGY, AIRWAY CENTER |
| Practice Address |
1821 Hillandale Rd Ste. 25a Durham NC 27705-2659 |
| Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
| Practice Telephone | 9196207305 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | PAUL R NEWMAN (EXECUTIVE DIRECTOR, PDC) |
| Authorized Official Telephone | 9196137652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Duke Asthma, Allergy, Airway Center | 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 |
1821 HILLANDALE RD STE. 25A |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795201 | John Stewart Jones | Internal Medicine | 1821 Hillandale Rd, Suite 25c, Durham, NC 27705-2659 | 2006-03-24 |
| 1376904664 | Greta Germino | Dietitian, Registered | 1821 Hillandale Rd, Durham, NC 27705-2659 | 2016-03-14 |
| 1316307572 | Rebecca May | Physician Assistant | 1821 Hillandale Rd, Durham, NC 27705-2659 | 2016-03-02 |
| 1104282540 | Christopher Clark | Physician Assistant | 1821 Hillandale Rd, Ste 24a, Durham, NC 27705-2659 | 2016-01-14 |
| 1871967919 | Katherine Elizabeth Prince | Registered Nurse | 1821 Hillandale Rd, Ste 25a, Durham, NC 27705-2659 | 2015-11-29 |
| 1447622295 | Elise Patricia Michnowicz | Nurse Practitioner | 1821 Hillandale Rd, Suite 24b, Durham, NC 27705-2659 | 2015-10-20 |
| 1033532320 | Deborah Nowack | Registered Nurse | 1821 Hillandale Rd, Suite 24b, Durham, NC 27705-2659 | 2014-01-23 |
| 1295019784 | James Franklin Killian | Pharmacist | 1821 Hillandale Rd, Durham, NC 27705-2659 | 2011-10-03 |
| 1174823066 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1821 Hillandale Rd, Ste. 25c, Durham, NC 27705-2659 | 2010-10-26 |
| 1508090275 | Zachary Ryan Healy | Internal Medicine | 1821 Hillandale Rd, Duke Asthma, Allergy, Airway Center, Durham, NC 27705-2659 | 2009-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558639864 | Private Diagnostic Clinic, Pllc | Allergy & Immunology | 30 Duke Medicine Circle, Durham, NC 27710-3000 | 2011-12-01 |
| 1497075659 | Lorena Rocha Wilson | Allergy & Immunology | 19 Sangre De Cristo Dr, Durham, NC 27705-2872 | 2010-06-09 |
| 1750606653 | Julie Joo Yeon Kim-chang | Allergy & Immunology | 203 Research Drive Duke University Medical Center, Durham, NC 27710-3307 | 2010-04-02 |
| 1972583656 | Peter B Bressler | Allergy & Immunology | 1821 Hillandale Rd Ste 25a, Durham, NC 27705-2671 | 2006-01-19 |
| 1528233947 | Alison M Church | Allergy & Immunology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-04-27 |
| 1821151606 | Joseph Roberts | Allergy & Immunology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1376606152 | Debra Sedlak | Allergy & Immunology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1336202100 | Laurie Lee | Allergy & Immunology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1154484939 | Mary Markert | Allergy & Immunology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1700949583 | Larry Williams | Allergy & Immunology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 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.