FREDERICK WALTER GOURDIN


Address: 78 Long Shoals Rd, Arden, NC 28704-7782
Phone: 8286840703

FREDERICK WALTER GOURDIN (NPI# 1215902663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215902663
Entity Type Individual
Full Name FREDERICK WALTER GOURDIN
Credential MD
Practice Address 78 Long Shoals Rd
Arden
NC 28704-7782
Practice Telephone 8286840703
Practice Fax Number 8286845344
Mailing Telephone 8286840703
Mailing Fax Number 8286845344
Enumeration Date 2006-02-21
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
9800549 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8911375 05

Office Location

Street Address 78 LONG SHOALS RD
City ARDEN
State NC
Zip Code 28704-7782

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508183286 Christopher Ryan Urban Dermatology 78 Long Shoals Rd, Arden, NC 28704-7782 2010-04-21
1982669131 Carolina Mountain Dermatology, Pa Dermatology 78 Long Shoals Rd, Arden, NC 28704-7782 2006-04-19
1912972811 Michael David Cogburn Dermatology 78 Long Shoals Rd, Arden, NC 28704-7782 2006-02-22
1275508285 Jay L Clarke Physician Assistant 78 Long Shoals Rd, Arden, NC 28704-7782 2006-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801410949 Lindsey Marie Gates Dentist 226 New Airport Rd Ste 30, Arden, NC 28704 2020-06-04
1669025565 Casey Cho Dds Pllc Dentist 150 Airport Rd. Suite 30, Arden, NC 28704 2019-07-19
1700370913 Eric Seth Shapiro Chiropractor 32 Southwicke Dr, Arden, NC 28704 2018-06-20
1285180406 Adam Herbst Physical Therapy Assistant 101 Roberts Lake Circle Apt 105, Arden, NC 28704 2016-08-28
1760820013 Dove Shoneman Acupuncturist 600 Julian Lane, Suite 660, Arden, NC 28704 2013-06-10
1710288378 Higher Ground Pediatric Therapy, Pllc Community/Behavioral Health 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 2010-11-12
1962642868 Pandora M Hodge Physician Assistant 436 Airport Road, Suite 20, Arden, NC 28704 2009-03-05
1710135009 Wal-mart Stores, Inc. Eyewear Supplier (Equipment, not the service) 60 Airport Rd., Asheville, NC 28704 2008-08-29
1679732598 Patty Ann Dalton Social Worker 126 Locust Court, Arden, NC 28704 2008-06-05
1053501783 Roger A Wallace Psychologist 410 Mills Gap Rd., Arden, NC 28704 2007-07-30
Find all providers in zip 28704

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942713052 Vieta Dermatology, Pllc Dermatology 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 2017-11-10
1245751403 Bluewater Dermatology and Skin Cancer Center Pa Dermatology 814 Spivey Rd, Whiteville, NC 28472-8736 2017-06-28
1831330893 Landon Everett Stigall Dermatology 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 2009-03-20
1780772541 Jenny L. Stone Dermatology 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 2006-10-10
1528035722 Marc Ronald Carruth Dermatology 2615 E 7th St, Charlotte, NC 28204-4376 2006-03-07
1508846403 Rajat Varma Dermatology 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 2006-01-18
1437130523 Greg Edwin Viehman Dermatology 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 2005-11-07
1598759482 Eastern Dermatology, P.a. Dermatology 420 Spring Forest Rd, Greenville, NC 27834-7244 2005-09-07
1285636076 Charles S Johnson Dermatology 315 19th St Se, Hickory, NC 28602-4230 2005-08-11
1134123847 Audrey F Echt Dermatology 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 2005-06-09
Find all providers with the same taxonomy

Competitor

Search similar providers

City ARDEN
Zip Code 28704

Improve Information

Please comment or provide details below to improve the information on FREDERICK WALTER GOURDIN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches