Doctors Own Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DOCTORS OWN URGENT CARE

Practice address

4807 Country Club Rd
Winston Salem, NC 27104-4503

Phone

(262) 364-8060

NPI assigned

Oct 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trent Walker Dietsche, DONPI 1164910501

Title

Physician Medical Director

Phone

(262) 364-8060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trent Walker Dietsche, DO

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1164910501
  Medicare reassignment NPD Authorized official
• Allison Lou Sharp, DO

  • Family Medicine Physician
  • Hudson, NC
  • NPI 1821385659
  Medicare reassignment NPD
• William Clinton Ruffian III, PA-C

  • Physician Assistant
  • Greenville, NC
  • NPI 1952564882
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1023734803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 MOSSBANK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069839",
            "telephone_number": "262-364-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044503",
            "telephone_number": "262-364-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OWN URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "DIETSCHE",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PHYSICIAN MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "262-364-8060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin E Dock, PH.D., LPC, CRC
• Alfred Dockery, PTA
• Jonathan Hart Dockery, LCMHC-A
• Pamela Sharee Dockery, MD
• Doctors Home Visits of the Triad, PC
• Laura Dodson
• Melissa Ann Doerfer, MS/EDS,LCMHC,NCC,CHT
• Laura Buchanan Doerfler, M.D.
• Jessica F. Doerrler, PA-C
• Dogwood FCH

• Urgent Care Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.