NPIMap

Organization Active NPI

Duke Hospital Outpatient Clinic

  • Clinic/Center
  • Durham, NC
National Provider Identifier
1649517616
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5005980 Issued in NC
Legal business name
DUKE HOSPITAL OUTPATIENT CLINIC
Practice address
30 Medicine Cir
Durham, NC 27710-0001
Phone
(919) 668-1219
NPI assigned
Jan 11, 2013
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Mrs. Nicole JelesoffNPI 1376515635
Title
MD
Phone
(919) 668-1219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5005980 NC Primary

Addresses

Primary practice location

30 Medicine Cir
Durham, NC 27710-0001

Mailing address

11726 Broadfield CT
Raleigh, NC 27617-4254

National Provider Directory

National Provider Directory
Tax ID family
Duke Psychology Clinic24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

30 Medicine Cir
Durham, NC 27710
Phone (919) 668-1219

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1649517616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11726 BROADFIELD CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICINE CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-668-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE HOSPITAL OUTPATIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "JELESOFF",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "919-668-1219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "5005980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.