Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FREDERICK WALTER GOURDIN MD
NPI 1215902663
Dermatology - MOHS-Micrographic Surgery in Arden, NC

Active since February 21, 2006
78 LONG SHOALS RD, ARDEN, NC 28704(828) 684-0703(828) 684-5344 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Frederick Walter Gourdin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK WALTER GOURDIN MD (NPI 1215902663) is an individual mohs-micrographic surgery provider in Arden, North Carolina, licensed in North Carolina (9800549) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1215902663
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameFREDERICK WALTER GOURDINCredential: MD
Location Address78 LONG SHOALS RDArden, NC 28704-7782
Mailing Address78 Long Shoals RdArden, NC 28704-7782 · (828) 684-0703 · Fax (828) 684-5344
Fax(828) 684-5344
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1215902663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in NC · 9800549
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.
78 LONG SHOALS RD, Arden, NC 28704

Other Identifiers 1

Medicaid8911375NC

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
78 LONG SHOALS RD
ARDEN, NC 28704
Dermatology (Procedural Dermatology)
78 LONG SHOALS RD
ARDEN, NC 28704
Dermatology
78 LONG SHOALS RD
ARDEN, NC 28704
Dermatology
78 LONG SHOALS RD
ARDEN, NC 28704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Gourdin's NPI number?

The NPI number for Frederick Gourdin is 1215902663. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Frederick Gourdin located?

Frederick Gourdin practices at 78 Long Shoals Rd, Arden, NC 28704. The listed phone number is (828) 684-0703.

What is Frederick Gourdin's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Frederick Gourdin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.