Active NPI
Steven M Gauze, ARNP
- Family Health Clinical Nurse Specialist
- Inez, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 3004341
- Practice address
- 2160 Blacklog Rd
Suite 120
Inez, KY 41224-9019 - Phone
- (606) 298-7405
- Fax
- (606) 298-3284
- NPI assigned
- Jul 20, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 3004341 | KY | Primary |
Addresses
Primary practice location
2160 Blacklog Rd
Suite 120
Inez, KY 41224-9019
Mailing address
2160 Blacklog Rd
Suite 120
Inez, KY 41224-9019
Phone (606) 298-7405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78012770 | Medicaid | KY | |
| 3810001297 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Kentucky College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2160 Blacklog Rd
Inez, KY 41224-9019
Phone (606) 298-5028
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004341 | KY | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warfield Rural Healthcare, Inc | Current | Accepting new patients | |
| Lon Lafferty MD PSC | Current | Accepting new patients | |
| Tri State Family Medical Center, LLC | Past | Accepting new patients | |
| Three Rivers Medical Clinics Inc | Past | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Past | Accepting new patients |
Locations
2160 Blacklog Rd
Inez, KY 41224
Phone (606) 295-5028
2160 Blacklog Rd
Ste 120
Inez, KY 41224
Phone (606) 298-5028
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Warfield, KY
- NPI 1851187108
-
dba Kings Daughters Medical Specialties Tri State Regional Cancer Center
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
dba Three Rivers Family Practice - Riverview
- Rural Health Clinic/Center
- Louisa, KY
- NPI 1437824406
-
- Family Medicine Physician
- Louisa, KY
- NPI 1194959452
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
dba Three Rivers Medical Center
- General Acute Care Hospital
- Louisa, KY
- NPI 1063484483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1083613079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 BLACKLOG RD",
"address_2": "SUITE 120",
"city": "INEZ",
"state": "KY",
"postal_code": "412249019",
"telephone_number": "606-298-7405",
"fax_number": "606-298-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 BLACKLOG RD",
"address_2": "SUITE 120",
"city": "INEZ",
"state": "KY",
"postal_code": "412249019",
"telephone_number": "606-298-7405",
"fax_number": "606-298-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUZE",
"first_name": "STEVEN",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "KY",
"license": "3004341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78012770",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810001297",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inez, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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; Order and Referring.
- 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.