Individual provider Active NPI

Scott David Wuertzer, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1750584348
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2008-02085 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-2255
NPI assigned
Jun 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD28086 AL
Diagnostic Radiology Physician 2085R0202X 2008-02085 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Other identifiers 1

IdentifierTypeStateIssuer
5910879MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000555 NC Practitioner - Diagnostic Radiology 5991869828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians
Wake Forest Baptist Imaging LLCGroup PAC ID 3173681681, 76 clinicians

Practice addresses (Care Compare)

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552
Phone (336) 716-2255

1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 753-1555

1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760

147 Peachtree LN
Advance, NC 27006-6753
Phone (336) 940-2290

1814 Westchester Dr
High Point, NC 27262-7369
Phone (336) 702-1355

1900 W Park Dr
Suite B
North Wilkesboro, NC 28659-3563
Phone (336) 903-6840

1901 Mooney St
Winston Salem, NC 27103-3027
Phone (336) 716-8091

1914 W Park Dr
North Wilkesboro, NC 28659-3563
Phone (336) 903-7710

1916 W Park Dr
North Wilkesboro, NC 28659-3563
Phone (336) 838-9553

1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762

1930 N Peace Haven Rd
Winston Salem, NC 27106-4817
Phone (336) 760-5400

2000 W 1St St
Winston Salem, NC 27104-4225

223 W Ward St
Asheboro, NC 27203-5423
Phone (336) 629-3500

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone (336) 716-2255

2341 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone (336) 716-2255

265 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone (336) 765-5722

312 Jonestown Rd
Winston Salem, NC 27104-4621
Phone (336) 716-7576

3120 Northline Ave
Suite 3120 101
Greensboro, NC 27408-7814
Phone (336) 765-5722

4515 Premier Dr
High Point, NC 27265-8356

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

605 Grove St
Salisbury, NC 28144-3233
Phone (704) 633-6442

611 N Lindsay St
High Point, NC 27262-4300
Phone (336) 878-6520

861 Old Winston Rd
Kernersville, NC 27284-7140
Phone (336) 713-3500

861 Old Winston Rd
Suite 105
Kernersville, NC 27284-7141
Phone (336) 765-5722

910 Worth St
Mt Airy, NC 27030-4458
Phone (336) 786-5108

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD28086ALMDDiagnostic Radiology Physician
2008-02085NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jan 1, 2009 Accepting new patients
Wake Forest Baptist Imaging LLC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2025 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients

Locations

223 W Ward St
#B
Asheboro, NC 27203

223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: swuertzer2754887@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1750584348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUERTZER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD28086",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2008-02085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.