John Ronald Van Gurp, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

34488 Issued in NC

Practice address

3111 Springbank LN
Suite J
Charlotte, NC 28226-3372

Phone

(704) 541-6001

Fax

(704) 541-1563

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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.

• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821173410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-541-6001",
            "fax_number": "704-541-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-541-6001",
            "fax_number": "704-541-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GURP",
        "first_name": "JOHN",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "34488",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "34488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Van de Motter, LCSW
• Michel McClamrock Van Devender, MSW, LCSW
• Maria Araceli Van Dyke, LCMHC
• Susannah Bauer Van Dyke, NP
• Sandy Charles Van Every, PA-C
• Gayle Van Horn, MSW, LCSW, LISW, LIP
• Leslie Thompson Van Horn, RDN, LDN
• Zoe Van Kirk, LCMHCA
• Alyssa Rose Van Meter, PA
• Marybeth Van Nest

• Procedural Dermatology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Procedural Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.