DUKE SPECIALTY CLINIC PERSON MEMORIAL
NPI 1609892108
Internal Medicine - Cardiovascular Disease in Roxboro, NC

Q: What is Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1609892108. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Duke Specialty Clinic Person Memorial.

Q: What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since July 15, 2006

615 RIDGE RD, ROXBORO, NC 27573(919) 684-8111 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Duke Specialty Clinic Person Memorial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUKE SPECIALTY CLINIC PERSON MEMORIAL (NPI 1609892108) is a healthcare organization registered as a cardiovascular disease in Roxboro, North Carolina and active in the NPI registry since July 2006. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609892108

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC

Location Address615 RIDGE RDRoxboro, NC 27573-4629

Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921

Phone(919) 684-8111

Organization SubpartNo

Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762

Enumeration DateJuly 15, 2006

Last NPPES UpdateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1609892108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

615 RIDGE RD, Roxboro, NC 27573

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Other Names 1

Doing Business AsDuke Specialty Clinic Person Memorial

Other Identifiers 2

Medicaid8902149NC

Other02149NC · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE CONLEY

Physical Therapist

615 RIDGE RD
ROXBORO, NC 27573

Person County (336) 599-2121

REGINALD L. HARRIS ANNEX

Skilled Nursing Facility

615 RIDGE RD
ROXBORO, NC 27573

Person County (336) 599-2121

NORTH CAROLINA EM I MEDICAL SERVICES P C

Physician Assistant

615 RIDGE RD
ROXBORO, NC 27573

Person County (336) 599-2121

MS. ERICA EILEEN LUNA OTR

Occupational Therapist

615 RIDGE RD
ROXBORO, NC 27573

Person County (336) 599-2121

CAITLIN MARIE MULVIHILL MD

Emergency Medicine

615 RIDGE RD
ROXBORO, NC 27573

Person County (336) 599-2121

PRIVATE DIAGNOSTIC CLINIC, PLLC

Anesthesiology

615 RIDGE RD, SUITE 202
ROXBORO, NC 27573

Person County (919) 684-8111

SAMANTHA JO HANES M.A. CCC-SLP

Speech-Language Pathologist

615 RIDGE RD
ROXBORO, NC 27573

Person County (814) 389-6941

WENDY P BUSH CRNA

Nurse Anesthetist, Certified Registered

615 RIDGE RD
ROXBORO, NC 27573

Person County (336) 599-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1609892108. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Duke Specialty Clinic Person Memorial.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 615 Ridge Rd, Roxboro, NC 27573. The listed phone number is (919) 684-8111.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.