Private Diagnostic Clinic, PLLC

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Pediatric Dermatology @ Patterson Place

Practice address

5324 McFarland Rd
Ste. 410
Durham, NC 27707-6865

Phone

(919) 684-8111

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Paul Raymond Newman

Title

Executive Director, PDC

Phone

(919) 613-7652

Specialties & licenses 1

Addresses

Other names 1

• Duke Pediatric Dermatology @ Patterson Place Doing business as

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1417295940",
    "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": "5324 MCFARLAND RD",
            "address_2": "STE. 410",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076865",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, PDC",
        "authorized_official_telephone_number": "919-613-7652"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Pediatric Dermatology @ Patterson Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Pediatric Dermatology @ Patterson Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Duke Diet and Fitness (PDC))
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Duke Eye Center)
• Private Diagnostic Clinic, PLLC (Psychiatry, Lakeview Child & Family)
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Duke Mohs Surgery at Patterson Place)
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Duke Outpatient Clinic)
• Private Diagnostic Clinic, PLLC (Harris & Smith OB-GYN)

• Pediatric Dermatology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Pediatric Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.