NPIMap

Individual provider Active NPI

Steven Marshall Gore, MEDICAL DOCTOR MD

  • Cardiovascular Disease Physician
  • Clyde, NC
National Provider Identifier
1346341633
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2012-00575 Issued in NC
Practice address
32 Physician Dr
Clyde, NC 28721-8486
Phone
(828) 564-9222
Fax
(828) 564-9200
NPI assigned
Sep 26, 2006
Last updated
Feb 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2012-00575 NC
Internal Medicine Physician 207R00000X 2012-00575 NC
Cardiovascular Disease Physician 207RC0000X 2012-00575 NC Primary

Addresses

Primary practice location

32 Physician Dr
Clyde, NC 28721-8486

Mailing address

32 Physician Dr
Clyde, NC 28721-8486
Phone (828) 564-9222

Other identifiers 1

IdentifierTypeStateIssuer
1346341633MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000455 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507012200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Mississippi School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 Physician Dr
Clyde, NC 28721-8486
Phone (828) 456-9836

262 Leroy George Dr
Clyde, NC 28721-7430

32 Physician Dr
Clyde, NC 28721-8486
Phone (828) 564-9222

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-00575NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Haywood Regional Medical Center LLC Cardiovascular Disease CurrentSince Nov 30, 2014 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Nov 30, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

32 Physician Dr
Clyde, NC 28721
Phone (828) 564-9222

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • Direct secure messaging: steven.gore.1@9865.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1346341633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PHYSICIAN DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218486",
            "telephone_number": "828-564-9222",
            "fax_number": "828-564-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PHYSICIAN DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218486",
            "telephone_number": "828-564-9222",
            "fax_number": "828-564-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "STEVEN",
        "middle_name": "MARSHALL",
        "credential": "MEDICAL DOCTOR MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2012-00575",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-00575",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2012-00575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346341633",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.