Theresa D Gourde (NPI# 1487688685, PAC ID# 7517924111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1487688685 |
| PAC ID by PECOS | 7517924111 |
| Professional Enrollment ID | I20041215000641 |
| Full Name | Theresa D Gourde |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Address |
3570 W 9000 Suite 100 West Jordan UT 84088-8871 |
| Phone Number | 8019035620 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8022032234 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| 460060 | LONE PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3570 W 9000, Suite 100, West Jordan, UT 84088-8871 | 8019035620 | PHYSICIAN GROUP OF UTAH INC |
| 3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2067 | 8019643921 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Deans | Neurology | Physician Group of Utah Inc | 3590 W 9000, Suite 240, West Jordan, UT 84088-8864 |
| Tamiyah Dinh | Nurse Practitioner | Physician Group of Utah Inc | 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362 |
| Komal Rastogi | Neurology | Physician Group of Utah Inc | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 |
| Nicholas M Noble | Family Medicine | Physician Group of Utah Inc | 349 N Flint St, Suite 101, Kaysville, UT 84037-9808 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Mitchell Taylor Peterson | Physical Therapy | Physician Group of Utah Inc | 1840 S 1300, Salt Lake City, UT 84105-3617 |
| Patricia L Judson | Obstetrics/gynecology | Physician Group of Utah Inc | 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 |
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Nancy Lieu | Clinical Social Worker | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Street Address |
3570 W 9000 SUITE 100 |
| City | WEST JORDAN |
| State | UT |
| Zip | 84088-8871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances J Bechek | Obstetrics/gynecology | South Valley Women's Health Care, PC | 3570 W 9000, Suite 210, West Jordan, UT 84088-8876 |
| Bruce R Kenwood | Cardiovascular Disease (cardiology) | Heart and Lung Institute of Utah Inc | 3570 W 9000, Suite 110, West Jordan, UT 84088-8870 |
| Scott E Hansen | Obstetrics/gynecology | South Valley Women's Health Care, PC | 3570 W 9000, Suite 210, West Jordan, UT 84088-8876 |
| Heidi S Vawdrey | Nurse Practitioner | Central Utah Clinic P C | 3570 W 9000, Suite 200, West Jordan, UT 84088-8875 |
| Grant E Hawkins | Internal Medicine | Physician Group of Utah Inc | 3570 W 9000, Suite 100, West Jordan, UT 84088-8871 |
| Jennifer L Glazier | Physician Assistant | South Valley Women's Health Care, PC | 3570 W 9000, Suite 210, West Jordan, UT 84088-8876 |
| Jordy C Cox | General Surgery | Heart and Lung Institute of Utah Inc | 3570 W 9000, Suite 110, West Jordan, UT 84088-8870 |
| Konstantyn Y Szwajkun | Cardiovascular Disease (cardiology) | Heart and Lung Institute of Utah Inc | 3570 W 9000, Suite 110, West Jordan, UT 84088-8870 |
| Anna I Mair | Physician Assistant | South Valley Women's Health Care, PC | 3570 W 9000, Suite 210, West Jordan, UT 84088-8876 |
| Elizabeth H Muije | Nurse Practitioner | South Valley Women's Health Care, PC | 3570 W 9000, Suite 210, West Jordan, UT 84088-8876 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Leo Berkenbile | Emergency Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ryan Leonard | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Brandon Allen | Family Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Edwin W Aldous | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Jon Aaron Christensen | Chiropractic | 3075 W 7800, West Jordan, UT 84088-2802 | |
| David R Hillam | Family Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Jenny Louise Mckay | Nurse Practitioner | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| William J Walsh | Internal Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Bryan D Gordon | Chiropractic | 2618 W 7800, Suite 200, West Jordan, UT 84088-4213 | |
| Find all physicians in zip 84088 | |||
| City | WEST JORDAN |
| Zip Code | 84088 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WEST JORDAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Theresa D Gourde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.