THEODORE G. GOURDIN MD – NPI #1821094301
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

THEODORE GOURDIN is a physician located in CHARLESTON, SC. NPPES has assigned the NPI number 1821094301 to THEODORE GOURDIN on June 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 6 years ago on May 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THEODORE GOURDIN below.

NPI Profile for
THEODORE G. GOURDIN

NPI Number
1821094301
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THEODORE G. GOURDIN
Credentials
MD
Primary location
1962 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5837
Phone: (843) 722-8000 Fax: (843) 647-6066
Mailing address
2001 2ND AVE STE 101
SUMMERVILLE, SC 29486-7887
Phone: (843) 793-5182 Fax: (843) 266-5125
Sole Proprietor
No
Updated
Certification Date
May 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THEODORE GOURDIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC130334
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 SC 13033
174400000X
- Specialist		 SC 13033

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE - Graduated 1985
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THEODORE GOURDIN is affiliated with the following medical group(s):
  • HOSPITAL
    • BON SECOURS-ST FRANCIS XAVIER HOSPITAL
      2095 HENRY TECKLENBURG DRIVE
      CHARLESTON, SC 29414
    • MOUNT PLEASANT HOSPITAL
      3510 HIGHWAY 17 NORTH SUITE 140
      MOUNT PLEASANT, SC 29466
    • ROPER HOSPITAL
      316 CALHOUN ST
      CHARLESTON, SC 29401
    • ROPER ST FRANCIS HOSPITAL-BERKELEY INC
      300 CALLEN BLVD
      SUMMERVILLE, SC 29486

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.