Private Diagnostic Clinic, PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Raleigh Pulmonary & Allergy Consultants

Practice address

3480 Wake Forest Rd
Suite 414
Raleigh, NC 27609-7376

Phone

(919) 684-8111

NPI assigned

Jul 15, 2006

Last updated

Jul 11, 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 1

Addresses

Other identifiers 2

Other names 1

• Raleigh Pulmonary & Allergy Consultants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Brent Pugh, MD

  • Pulmonary Disease Physician
  • Stuart, FL
  • NPI 1972535698
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1497771992",
    "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": "3480 WAKE FOREST RD",
            "address_2": "SUITE 414",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097376",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "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": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "017VW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7907025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Pulmonary & Allergy Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Pulmonary & Allergy Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Private Diagnostic Clinic, PLLC (Duke Neurology of Raleigh)
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• Private Diagnostic Clinic, PLLC (West Raleigh Internal Medicine)
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Capitol Pediatrics and Adolescent Center)
• Private Diagnostic Clinic, PLLC (Carolina Family Practice & Sports Medicine-Raleigh)
• Private Diagnostic Clinic, PLLC (Raleigh Neurosurgery at Cedarhurst)
• Private Diagnostic Clinic, PLLC (Duke Eye Center of Raleigh)
• Private Diagnostic Clinic, PLLC (Duke Specialty Clinic Brier Creek)

• Pulmonary Disease Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pulmonary Disease 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.