Private Diagnostic Clinic, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Orthopaedics at Page Road

Practice address

4709 Creekstone Dr
Suite 300
Durham, NC 27703-8411

Phone

(919) 684-3688

NPI assigned

Jun 7, 2011

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 2

Addresses

Other names 1

• Duke Orthopaedics at Page Road Doing business as

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1730473869",
    "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": "4709 CREEKSTONE DR",
            "address_2": "SUITE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038411",
            "telephone_number": "919-684-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "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": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Orthopaedics at Page Road",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Orthopaedics at Page Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Private Diagnostic Clinic, PLLC (North Carolina Orthopaedic Clinic)
• Private Diagnostic Clinic, PLLC (Duke Asthma, Allergy, Airway Center)
• Private Diagnostic Clinic, PLLC (Harris & Smith OB/GYN)
• Private Diagnostic Clinic, PLLC (Duke Primary and Specialty Care Services)
• Private Diagnostic Clinic, PLLC (Durham Gastroenterology Consultants)
• Private Diagnostic Clinic, PLLC (Duke Otolaryngology of Durham)
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC (Regional Pediatric Associates)
• Private Diagnostic Clinic, PLLC (Durham Regional Hospital)
• Private Diagnostic Clinic, PLLC (Duke Fertility Clinic)

• Orthopaedic Surgery Physician in Durham, NC
• Providers in Durham, NC by specialty
• Orthopaedic 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.