Provider Demographics
NPI:1023009834
Name:GAUERKE, STEVE (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:GAUERKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3161 COLCHESTER BROOK LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2609
Mailing Address - Country:US
Mailing Address - Phone:703-280-4544
Mailing Address - Fax:202-782-3217
Practice Address - Street 1:3161 COLCHESTER BROOK LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2609
Practice Address - Country:US
Practice Address - Phone:703-280-4544
Practice Address - Fax:202-782-3217
Is Sole Proprietor?:No
Enumeration Date:2005-11-01
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236850171000000X
CAC151388207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No171000000XOther Service ProvidersMilitary Health Care Provider
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology