Private Diagnostic Clinic, PLLC
NPI 1255658472ActiveOrganization· Dermatology· Durham, NC
Dermatology in Durham, North Carolina, registered in NPPES in April 2010. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1255658472 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2010 |
| Last updated in NPPES | May 15, 2022 |
| Certified by provider | May 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Durham
- 1649232687
- 1326101262
- 1871893503
- 1467832881
- 1871547364
- 1568102556
- 1447452990
- 1487073268
- 1922758895
- 1942237094
- 1295761021
- 1407021165