Gudeman Chiropractic Health Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5573 Issued in FL

Legal business name

GUDEMAN CHIROPRACTIC HEALTH CENTER, PA

Practice address

562 SE Port St Lucie Blvd
Port Saint Lucie, FL 34984-5108

Phone

(772) 340-2330

Fax

(772) 340-2331

NPI assigned

May 19, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew John Gudeman, DCNPI 1912064502

Title

President

Phone

(772) 340-2330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Matthew John Gudeman, DC

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1912064502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1043503378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845108",
            "telephone_number": "772-340-2330",
            "fax_number": "772-340-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845108",
            "telephone_number": "772-340-2330",
            "fax_number": "772-340-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUDEMAN CHIROPRACTIC HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GUDEMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-340-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Suydam Groh, D.O.
• Adam Grossnicklaus
• Jade Elizabeth Groth, MS, CCC-SLP
• Growth to Harmony Mental Health, LLC
• Guardians for New Futures, Inc. (GFNF4KIDS Children's Advocacy Center)
• Geri Lynn Vandenberg Guercio, PT
• Gabriel Guerrero, MD
• Josue Guerrier, PMHNP-BC
• Sarah B Guettler, DPT
• Guilaine Guillaume, NP

• Chiropractor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.