Stephen Jacob Gordin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

16566 Issued in SC

Practice address

225 Stable Gate Dr
Campobello, SC 29322-8037

Phone

(864) 468-5570

NPI assigned

Jul 27, 2006

Last updated

May 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Medical University of South Carolina College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imaging Partners PLLCGroup PAC ID 1254654809, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Imaging Partners PLLC

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1184020547

  SC

  Medicare reassignment Care Compare group NPD
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Spartanburg, SC
  • NPI 1568454056
  Medicare reassignment NPD
• Southeast Regional Virtual Imaging Consulting Enterprise PA

  • Diagnostic Radiology Physician
  • Campobello, SC
  • NPI 1205844586
  NPD (past) Authorized official
• Direct Diagnostic Services, LLC

  • Physiological Laboratory
  • Charleston, SC
  • NPI 1801040274
  NPD
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Columbus, NC
  • NPI 1083309074
  NPD
• Sonocare, LLC

  • Physiological Laboratory
  • Morganton, NC
  • NPI 1164527149
  NPD
• Upstate Carolina Radiology PA

  • Diagnostic Radiology Physician
  • Spartanburg, SC
  • NPI 1750348595
  NPD (past)
• Upstate Radiology Associates

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1932165065
  NPD (past)
• Chatham Radiologists, PA

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1285663443
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1386668879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52990",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490048",
            "telephone_number": "864-223-3600",
            "fax_number": "864-223-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 STABLE GATE DR",
            "city": "CAMPOBELLO",
            "state": "SC",
            "postal_code": "293228037",
            "telephone_number": "864-468-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2962 Sweetleaf Ln",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294556710",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Carriage Ln Ste 108",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076048",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Wamsutta Mill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555521",
            "country_code": "US",
            "telephone_number": "828-430-3051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Wamsutta Mill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555522",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Wamsutta Mill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555523",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDIN",
        "first_name": "STEPHEN",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "16566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165662",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chloe Michaela Hudson
• Richard Jones, LCAS, SAP
• Mary Arlene Marin
• Karen Beth McCreary

• Diagnostic Radiology Physician in Campobello, SC
• Providers in Campobello, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.

Verify at the official NPI Registry.