Private Diagnostic Clinic, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Mohs Surgery at Patterson Place

Practice address

5324 McFarland Drive
Suite 400
Durham, NC 27707-6864

Phone

(919) 419-4945

NPI assigned

Nov 12, 2010

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

Phone

(919) 613-7652

Specialties & licenses 1

Addresses

Other names 1

• Duke Mohs Surgery at Patterson Place Doing business as

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1447551023",
    "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 DRIVE",
            "address_2": "SUITE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076864",
            "telephone_number": "919-419-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-613-7652"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Mohs Surgery at Patterson Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Mohs Surgery at Patterson Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Duke Eye Center)
• Private Diagnostic Clinic, PLLC (Psychiatry, Lakeview Child & Family)
• Private Diagnostic Clinic, PLLC (Duke Pediatric Dermatology @ Patterson Place)
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Duke Outpatient Clinic)
• Private Diagnostic Clinic, PLLC (Harris & Smith OB-GYN)
• Private Diagnostic Clinic, PLLC (Duke Health Center at Duke St)
• Private Diagnostic Clinic, PLLC (Duke Medicine Circle Clinic)

• MOHS-Micrographic Surgery Physician in Durham, NC
• Providers in Durham, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.