Scott D Gudeman, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01042514A Issued in IN

Practice address

1260 Innovation Pkwy #100
Greenwood, IN 46143-3602

Phone

(317) 884-5200

Fax

(317) 884-5360

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1790736403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 GOLFVIEW DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439586",
            "telephone_number": "317-796-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INNOVATION PKWY #100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433602",
            "telephone_number": "317-884-5200",
            "fax_number": "317-884-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEMAN",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01042514A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01042514A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany T Grounds
• Shannon Grove, RDN
• Quinn Grow, LMHC
• Guardian Gems Home Care LLC
• Andrew Scott Gudeman, MD
• Scott Thomas Guenthner, MD
• Brooklynn Guerrettaz
• Eric Guidero, MD
• Guiding Grace Home Care LLC
• Madison Gunderman

• Orthopaedic Surgery Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.