Stephen M. Gooden, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

033972 Issued in GA

Legal business name

STEPHEN M. GOODEN, M.D., P.C.

Practice address

1430 B Harper Street
Augusta, GA 30901

Phone

(706) 724-5451

Fax

(706) 724-9562

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2007By 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

Stephen M Gooden, M.D.NPI 1598759391

Title

President

Phone

(706) 724-5451

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Stephen Marshall Gooden, M.D.

  • Surgery Physician
  • Morehead City, NC
  • NPI 1598759391
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1144313826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. GOODEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-724-5451",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "033972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460028A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA822",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence B. Steinle, D.C.
• Noel B. Steinle, DC
• Ashleigh Caudill Steinmeyer, APRN
• Kaitlynn Marie Steller, DNP, FNP-C
• James T Stenard, MD
• Stephen W. Brown and Radiology Associates of Augusta LLP
• Stephens Clinic LLC
• Christina Stephens
• Jason E Stephens, FNP
• Kailey Paige Stephens

• Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.