Private Diagnostic Clinic, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Sports Medicine Center Clinic

Practice address

3475 Erwin Rd
Durham, NC 27705-0005

Phone

(919) 684-5888

NPI assigned

May 29, 2014

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 T Frederick

Title

Practice Chief Financial Officer

Phone

(919) 620-4810

Specialties & licenses 2

Addresses

Other names 1

• Duke Sports Medicine Center Clinic Doing business as

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1144632894",
    "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": "3475 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-684-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "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": "T",
        "authorized_official_title_or_position": "PRACTICE CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-620-4810"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Sports Medicine Center Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Sports Medicine Center Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Private Diagnostic Clinic PLLC
• Private Diagnostic Clinic, PLLC (Duke Med Peds at Roxboro St)
• Private Diagnostic Clinic, PLLC (Psychiatry Erwin Square)
• Private Diagnostic Clinic, PLLC (Durham OB/GYN)
• Private Diagnostic Clinic, PLLC (DukePDCPTOT)
• Private Diagnostic Clinic, PLLC (Regional Neurosurgery)
• Private Diagnostic Clinic, PLLC (Triangle Heart Associates)
• Private Diagnostic Clinic, PLLC (Duke Pernatal Consultants Durham)
• Private Diagnostic Clinic, PLLC (Duke Pulmonary, Allergy & Critical Care Medicine)
• Private Diagnostic Clinic, PLLC (Duke Dermatology-Patterson Place)

• Orthopaedic Surgery Physician in Durham, NC
• Providers in Durham, 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.