DR. THEODORE G GOURDIN MD NPI 1821094301

NPI Information

  • NPI: 1821094301
  • Provider Name: DR. THEODORE G GOURDIN, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1962 CHARLIE HALL BLVD
    CHARLESTON, SC
    ZIP 29414
  • Phone: (843) 722-8000

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NPI Details

DR. Theodore G Gourdin, MD is a gastroenterology internal medicine in Charleston, SC with 40 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Theodore G Gourdin, MD NPI is 1821094301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1985

The provider's business location address is:

1962 CHARLIE HALL BLVD
CHARLESTON, SC
ZIP 29414-837
Phone: (843) 722-8000
Fax: (843) 647-6066

The NPI 1821094301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Dilation of esophagus (HCPCS:43450)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of organ tissue for measuring elasticity (HCPCS:76981)
  • Imaging of digestive tract done from the inside of the digestive tract (HCPCS:91110)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 6/21/2005 and was last updated on 5/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist13033SOUTH CAROLINANo
2207RG0100XInternal MedicineGastroenterology13033SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130334MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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