MICHAEL ANTHONY MCGOURTY (NPI# 1275601056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275601056 |
Entity Type | Individual |
Full Name | MICHAEL ANTHONY MCGOURTY |
Credential | PA-C |
Practice Address |
93 Thames St Newport RI 02840-2536 |
Mailing Address |
56 Oak St Middletown RI 02842-4945 |
Practice Telephone | 4018464150 |
Practice Fax Number | 4018469340 |
Mailing Telephone | 4018292435 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2018-12-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00221 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC00221 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
93 THAMES ST |
City | NEWPORT |
State | RI |
Zip Code | 02840-2536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356780696 | Andrea Tonski | Counselor | 93 Thames St, Newport, RI 02840-2536 | 2013-06-20 |
1710126305 | John P Feld | Counselor | 93 Thames St, Newport, RI 02840-2536 | 2009-02-05 |
1043436785 | Codac Inc | Peer Specialist | 93 Thames St, Codac Newport, Newport, RI 02840 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
Find all providers in zip 02840 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356607923 | Jennifer Ann Cox | Physician Assistant | 8863 Birchwood Dr, Newport, MI 48166-9355 | 2012-04-07 |
1083882765 | Gregory Damon Shanton | Physician Assistant | 420 Old Airport Rd, Newport, NC 28570-6560 | 2008-02-14 |
1174626089 | Patrick Heaney | Physician Assistant | 186 Medical Village Dr, Newport, VT 05855-8537 | 2006-09-06 |
1184142606 | Brian Kevin Taft | Physician Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2017-09-05 |
1790187078 | Hannah Rasma Balduff | Physician Assistant | 775 Sw 9th St Ste B, Newport, OR 97365-4850 | 2014-09-18 |
1265718852 | Christopher Buscher | Physician Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2011-10-26 |
1265612568 | Kristina Marie Uehlin | Physician Assistant | 1010 Sw Coast Hwy Ste 201, Newport, OR 97365-5240 | 2007-11-05 |
1932394772 | Keith E Bell | Physician Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2007-09-13 |
1306038245 | David J Allen | Physician Assistant | 930 Sw Abbey St, Suite F, Newport, OR 97365-4820 | 2007-08-14 |
1124105838 | Stanley R Ferguson | Physician Assistant | 775 Sw 9th St, Suite B, Newport, OR 97365-4895 | 2006-11-01 |
Find all providers in NEWPORT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.