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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1790941755


NPI Information

NPI: 1790941755
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DURHAM REGIONAL HOSPITAL

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3643 N ROXBORO ST
DURHAM, NC
ZIP 27704
Phone: (919) 470-4000
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is an internal medicine in Durham, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1790941755. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Durham Regional Hospital.

The provider's business location address is:

3643 N ROXBORO ST
DURHAM, NC
ZIP 27704-702
Phone: (919) 470-4000

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 7/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNORTH CAROLINANo
2207RP1001XInternal MedicinePulmonary DiseaseNORTH CAROLINANo
3208600000XSurgeryNo
4363L00000XNurse PractitionerNORTH CAROLINANo
5367A00000XAdvanced Practice MidwifeNORTH CAROLINANo
6207R00000XInternal MedicineNORTH CAROLINAYes
7207L00000XAnesthesiologyNo
8207RC0000XInternal MedicineCardiovascular DiseaseNORTH CAROLINANo
9207RC0200XInternal MedicineCritical Care MedicineNORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15903564MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.