Private Diagnostic Clinic, PLLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Wilmington Maternal-Fetal Medicine

Practice address

2212 Delaney Ave
Wilmington, NC 28403-6011

Phone

(910) 332-3660

NPI assigned

Aug 8, 2012

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 names 1

• Wilmington Maternal-Fetal Medicine Doing business as

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1508113689",
    "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": "2212 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036011",
            "telephone_number": "910-332-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "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": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Maternal-Fetal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilmington Maternal-Fetal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilynn A Prince-Fiocco, MD
• Wendy Marie Principe, FNP
• Chiara Pringle-O'Neal
• Erika M Pritchett, MD
• Private Diagnostic Clinic, PLLC (Southeastern Nephrology Assoc)
• Pro-Health Behavioral Services PLLC
• Kirsten Lyndsey Probst-Santha
• Jeffrey Probst, PA-C
• Lindsey Hastings Prochaska, DO
• Brittney Proctor, LCSW

• Maternal & Fetal Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Maternal & Fetal Medicine 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.