DUKE GASTROENTEROLOGY OF RALEIGH – NPI #1700087194
Clinic/Center

DUKE GASTROENTEROLOGY OF RALEIGH is an AHC clinic located in RALEIGH, NC. NPPES has assigned the NPI number 1700087194 to DUKE GASTROENTEROLOGY OF RALEIGH on May 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUKE GASTROENTEROLOGY OF RALEIGH” is a dba name, the actual legal business name for this organization is PRIVATE DIAGNOSTIC CLINIC, PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Oct 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUKE GASTROENTEROLOGY OF RALEIGH below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1700087194
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Doing Business As (dba): DUKE GASTROENTEROLOGY OF RALEIGH
Primary location
3480 WAKE FOREST RD
SUITE 500
RALEIGH, NC 27609-7376
Phone: (919) 862-5075 Fax:
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
CHRISTOPHER FREDERICK
CFO
Phone: (919) 613-7762
Updated
Certification Date
Oct 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
207RG0100X
- Internal Medicine / Gastroenterology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.