NPIMap

Organization Active NPI

Accudoc Inc PC

Doing business as AccuDoc Urgent Care

  • Urgent Care Clinic/Center
  • Harrison, OH
National Provider Identifier
1619372497
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ACCUDOC INC PC
Doing business as
AccuDoc Urgent Care
Practice address
620 Ring Rd
Harrison, OH 45030
Phone
(513) 845-4558
Fax
(513) 845-4558
NPI assigned
Oct 23, 2014
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Trent R Austin, M.D.NPI 1780670505
Title
Medical Director
Phone
(812) 932-3224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

620 Ring Rd
Harrison, OH 45030

Mailing address

20 Alpine Dr
Batesville, IN 47006-8477
Phone (812) 932-3224

Other identifiers 1

IdentifierTypeStateIssuer
0126975MedicaidOH

Other names 1

  • AccuDoc Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150323001595 OH Part B Supplier - Clinic/Group Practice 2264404490 Receives reassigned benefits from 13 practitioners
Practice locations: Harrison, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2087640Accudoc Urgent Care of Harrison620 Ring Road, Harrison, OH 45030Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1619372497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ALPINE DR",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068477",
            "telephone_number": "812-932-3224",
            "fax_number": "812-932-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 RING RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "45030",
            "telephone_number": "513-845-4558",
            "fax_number": "513-845-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUDOC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "812-932-3224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccuDoc Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.