Private Diagnostic Clinic, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Orthopaedics of Person County

Practice address

601 Ridge Rd
Roxboro, NC 27573-4629

Phone

(919) 684-8111

NPI assigned

Jul 15, 2006

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Thomas Frederick

Title

Chief Financial Officer

Phone

(919) 613-7762

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Duke Orthopaedics of Person County Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1053337550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734629",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-613-7762"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902501",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02501",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Orthopaedics of Person County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Orthopaedics of Person County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of North Carolina Medical PC (CareHere a Premise Health Company eHealth Center in partnership with L)
• Preventive Home Care Agency LLC (preventive home care)
• Primary Health Concepts, Inc. (Home Health Professionals)
• Primary Health Concepts, Inc. (Home Health Professionals)
• Primary Health Concepts, Inc. (Home Health Professionals)
• Private Diagnostic Clinic, PLLC (Duke Anesthesia of Person County)
• Private Diagnostic Clinic, PLLC (Duke Specialty Clinic Person Memorial)
• Private Diagnostic Clinic, PLLC (Harris & Smith OB/GYN - Roxboro)
• Private Diagnostic Clinic, PLLC (Duke Otolaryngology of Person County)
• Prodigious Health Services, LLC

• Orthopaedic Surgery Physician in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.