Thomas Edward Gauderman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3869 Issued in MN

Practice address

1600 University Ave W Ste 306
Spruce Tree Centre
Saint Paul, MN 55104-3922

Phone

(941) 552-1189

Fax

(941) 365-8635

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Belde Chiropractic Clinic, PA

  • Chiropractor
  • Monticello, MN
  • NPI 1437295532
  NPD (past)
• IHS Midwest PC

  • Chiropractor
  • Monticello, MN
  • NPI 1588600043
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1225223670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 306",
            "address_2": "SPRUCE TREE CENTRE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 306",
            "address_2": "SPRUCE TREE CENTRE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043922",
            "telephone_number": "941-552-1189",
            "fax_number": "941-365-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDERMAN",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Claire Gast
• Katherine Gaston
• Paul L Gaston, LISW
• Patricia Diann Gates, MA, LPCC
• Catherine W Gatto, MD
• Erica Jane Gauger, M.D.
• Shawn Thomas Gaughan, CRNA
• Nida Gauhar, M.S.
• Megan Gaulke
• Leah Rachelle Gause, PSY.D.

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.