DUKE PEDIATRIC DERMATOLOGY @ PATTERSON PLACE – NPI #1417295940
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

DUKE PEDIATRIC DERMATOLOGY @ PATTERSON PLACE is a dermatologist located in DURHAM, NC. NPPES has assigned the NPI number 1417295940 to DUKE PEDIATRIC DERMATOLOGY @ PATTERSON PLACE on January 17, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUKE PEDIATRIC DERMATOLOGY @ PATTERSON PLACE” is a dba name, the actual legal business name for this organization is PRIVATE DIAGNOSTIC CLINIC, PLLC. The primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was previously updated about 4 years ago on May 18, 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 PEDIATRIC DERMATOLOGY @ PATTERSON PLACE below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1417295940
Enumeration Date

(more than 13 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 PEDIATRIC DERMATOLOGY @ PATTERSON PLACE
Primary location
5324 MCFARLAND RD
STE. 410
DURHAM, NC 27707-6865
Phone: (919) 684-8111 Fax:
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
PAUL NEWMAN
EXECUTIVE DIRECTOR, PDC
Phone: (919) 613-7652
Updated
Certification Date
May 18, 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
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)

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.