Individual
GAVIN J UDSTUEN
Active
Individual
GAVIN J UDSTUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-07-1170
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228669
ANTHEM
OH
01
—
1603249
UNITED HEALTHCARE
OH
05
—
1805944000
—
WV
05
—
200411300A
—
IN
05
—
2214857
—
OH
01
—
2903618
AETNA
OH
01
—
300134540
RAILROAD MEDICARE
OH
05
—
64028558
—
KY
Enumeration date
07/07/2006
Last updated
02/21/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up