Private Diagnostic Clinic, PLLC
NPI 1447283619ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Raleigh, NC
Orthopaedic Surgery, Sports Medicine in Raleigh, North Carolina, registered in NPPES in July 2006. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1447283619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2006 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
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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