Individual provider Active NPI

Steven Kent Gudeman, M.D

  • Neurological Surgery Physician
  • Gastonia, NC
National Provider Identifier
1548216849
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35086 Issued in NC
Practice address
811 Cox Rd
Gastonia, NC 28054-3453
Phone
(704) 852-3888
Fax
(704) 852-4456
NPI assigned
May 26, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35086 NC Primary

Addresses

Primary practice location

811 Cox Rd
Gastonia, NC 28054-3453

Mailing address

811 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 852-3888

Other identifiers 3

IdentifierTypeStateIssuer
125849MedicaidSC
1548216849MedicaidNC
1033KOtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000644 NC Practitioner - Neurosurgery 0648212597 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12584SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients
Caromont Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients

Locations

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

811 Cox Rd
Gastonia, NC 28054
Phone (704) 272-3578

1200 Village Harbor Dr
Lake Wylie, SC 29710
Phone (704) 671-6400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1548216849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-852-3888",
            "fax_number": "704-852-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-852-3888",
            "fax_number": "704-852-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEMAN",
        "first_name": "STEVEN",
        "middle_name": "KENT",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "35086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125849",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548216849",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1033K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.