Organization Active NPI

Steven K. Gudeman, MD PA

  • Neurological Surgery Physician
  • Hickory, NC
National Provider Identifier
1326270273
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35086 Issued in NC
Legal business name
STEVEN K. GUDEMAN, MD PA
Practice address
1985 Tate Blvd SE
Suite 726
Hickory, NC 28602-1469
Phone
(828) 322-2780
Fax
(828) 322-4870
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Steven K Gudeman, MD
Title
Owner/Physician
Phone
(704) 864-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 35086 NC Primary

Addresses

Primary practice location

1985 Tate Blvd SE
Suite 726
Hickory, NC 28602-1469

Mailing address

2555 Court Dr
Suite 400
Gastonia, NC 28054-2134
Phone (704) 864-5550

Other identifiers 1

IdentifierTypeStateIssuer
5911665MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1326270273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COURT DR",
            "address_2": "SUITE 400",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542134",
            "telephone_number": "704-864-5550",
            "fax_number": "704-864-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE",
            "address_2": "SUITE 726",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021469",
            "telephone_number": "828-322-2780",
            "fax_number": "828-322-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. GUDEMAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "GUDEMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "704-864-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "35086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911665",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.