Private Diagnostic Clinic, PLLC

Surgery in Raleigh, NC. Organization (NPI-2).

NPI number1124356589

StatusActive

Last updated in NPPESMay 13, 2022

Details

NPI: 1124356589
Entity type: Organization (NPI-2)
Legal business name: Private Diagnostic Clinic, PLLC
Organization subpart: No
Enumeration date: Nov 24, 2009
Certification date: May 13, 2022
Last updated: May 13, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	–	–	Yes

Other names

Duke General Surgery Of Raleigh - Health Park (Doing Business As)

Practice location

8300 Health Park
Suite 211
Raleigh, NC 27615-4730

Phone 919-847-8235

Mailing address

Po Box 110566
Durham, NC 27709-5566

Phone 919-620-4485 · Fax 919-620-4921

Authorized official

Christopher Thomas Frederick
Cfo
9196137762

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Raleigh, NC

All 117 Surgery Physician providers in Raleigh · All 22,031 providers in Raleigh

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check