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

NPI Status: Active since February 21, 2006

Contact Information

78 LONG SHOALS RD
ARDEN, NC
ZIP 28704
Phone: (828) 684-0703
Fax: (828) 684-5344

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  • Individual
  • Male
  • Dermatology
  • MOHS-Micrographic Surgery

About FREDERICK GOURDIN

This page provides the complete NPI Profile along with additional information for Frederick Gourdin, a provider established in Arden, North Carolina with a medical specialization in Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1215902663 assigned on February 2006. The practitioner's primary taxonomy code is 207ND0101X with license number 9800549 (NC). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1215902663
Provider Name
FREDERICK WALTER GOURDIN MD
Gender
Male
Entity Type
Individual
Location Address
78 LONG SHOALS RD ARDEN, NC 28704
Location Phone
(828) 684-0703
Location Fax
(828) 684-5344
Mailing Address
78 LONG SHOALS RD ARDEN, NC 28704
Mailing Phone
(828) 684-0703
Mailing Fax
(828) 684-5344
Is Sole Proprietor?
Yes
Enumeration Date
02-21-2006
Last Update Date
07-09-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
License No.
9800549
License State
NC
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2255486MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
8911375MEDICAID (05)NC 
B04230MEDICARE UPIN (02)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215902663, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 8 + 0 + 4 + 6 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215902663.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dermatology
78 LONG SHOALS RD
ARDEN, NC 28704
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215902663, enumerated as an "individual" on February 21, 2006.

The provider is located at 78 LONG SHOALS RD ARDEN, NC 28704 and the phone number is (828) 684-0703.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.