Private Diagnostic Clinic, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

NC Orthopaedic Clinic-Hillsborough

Practice address

267 S Churton St
Ste. 200
Hillsborough, NC 27278-2506

Phone

(919) 471-9622

NPI assigned

Mar 8, 2012

Last updated

May 15, 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

Cfo

Phone

(919) 613-7762

Specialties & licenses 2

Addresses

Other names 1

• NC Orthopaedic Clinic-Hillsborough Doing business as

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1326312349",
    "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": "267 S CHURTON ST",
            "address_2": "STE. 200",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782506",
            "telephone_number": "919-471-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-613-7762"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NC Orthopaedic Clinic-Hillsborough",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NC Orthopaedic Clinic-Hillsborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Powers, MA, LPCA
• Premier Residential for Kids Inc.
• Carley Prenshaw, M.S., CCC-SLP
• Philip A Price, PA
• Pride in Hillsbourgh (One Day at @ a Time NC)
• Janelle Elizabeth Puckett, MS, CCC-SLP
• Derek Brandon Pyles, MD
• Elizabeth Quinn
• Rafia Rebeck PLLC (Notice with Kindness)
• Stephanie Rainey, O.T.D., MS, OTR/L

• Orthopaedic Surgery Physician in Hillsborough, NC
• Providers in Hillsborough, 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 15, 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.