Private Diagnostic Clinic, PLLC
NPI 1417402462ActiveOrganization· Orthopaedic Surgery· Morrisville, NC
Orthopaedic Surgery in Morrisville, North Carolina, registered in NPPES in August 2016. The authorized official on file is Christopher T. Frederick, Practice Chief Financial Officer.
Overview
| NPI | 1417402462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2016 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — | — |
| Prosthetic/Orthotic Supplier | 335E00000X | — | NC |
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 |
|---|
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