Organization Active NPI

Steven K. Gudeman, MD PA

  • Neurological Surgery Physician
  • Gastonia, NC
National Provider Identifier
1811940018
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
STEVEN K. GUDEMAN, MD PA
Practice address
2555 Court Dr
Suite 400
Gastonia, NC 28054-2134
Phone
(704) 864-5550
Fax
(704) 764-7448
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Steven Kent Gudeman, M.D.
Title
Physician
Phone
(704) 864-5550

Specialties & licenses 1

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

Addresses

Primary practice location

2555 Court Dr
Suite 400
Gastonia, NC 28054-2134

Mailing address

2555 Court Dr
Suite 400
Gastonia, NC 28054-2180
Phone (704) 864-5550

Other identifiers 1

IdentifierTypeStateIssuer
8937945MedicaidNC

National Provider Directory

National Provider Directory

Locations

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

1985 Tate Blvd SE
Ste 726
Hickory, NC 28602
Phone (828) 322-2780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1811940018",
    "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": "280542180",
            "telephone_number": "704-864-5550",
            "fax_number": "704-764-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "704-764-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. GUDEMAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "GUDEMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-864-5550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937945",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.