MICHAEL ANTHONY MCGOURTY


Address: 93 Thames St, Newport, RI 02840-2536
Phone: 4018464150

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 93 THAMES ST
City NEWPORT
State RI
Zip Code 02840-2536

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City NEWPORT
Zip Code 02840

Improve Information

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Dataset Information

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.

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