Active NPI
Charles J Gudas, DPM
- Foot & Ankle Surgery Podiatrist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 104
- Practice address
- 2097 Henry Tecklenburg Dr
Ste 210W
Charleston, SC 29414-5739 - Phone
- (843) 852-9444
- Fax
- (843) 852-9404
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 104 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr
Ste 210W
Charleston, SC 29414-5739
Mailing address
2097 Henry Tecklenburg Dr
Ste 210W
Charleston, SC 29414-5739
Phone (843) 852-9444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP9977 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot & Ankle Specialists LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Associated Foot & Ankle Specialists, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Associated Foot Surgeons of Chicagoland LTD | Past | Accepting new patients |
Locations
2097 Henry Tecklenburg Dr
Ste W210
Charleston, SC 29414
Phone (843) 852-9444
2097 Henry Tecklenburg Dr
Ste 210
Charleston, SC 29414
Phone (843) 356-9673
2097 Henry Tecklenburg Dr
Ste 210W
Charleston, SC 29414
Phone (843) 852-9444
Interoperability endpoints
- charlesgudas@associatedfootspecialists.ssdirect.aprima.com
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Charleston, SC
- NPI 1649862293
-
- Foot & Ankle Surgery Podiatrist
- Englewood, NJ
- NPI 1003858598
-
- Podiatrist
- Hinsdale, IL
- NPI 1619081239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972507812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR",
"address_2": "STE 210W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145739",
"telephone_number": "843-852-9444",
"fax_number": "843-852-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR",
"address_2": "STE 210W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145739",
"telephone_number": "843-852-9444",
"fax_number": "843-852-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDAS",
"first_name": "CHARLES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "SC",
"license": "104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP9977",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.