Alexander P Gurrola MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

16537 Issued in OK

Legal business name

ALEXANDER P GURROLA MD PC

Practice address

812 12TH Ave NW
Ardmore, OK 73401-5708

Phone

(580) 226-6500

Fax

(580) 226-6524

NPI assigned

Sep 26, 2006

Last updated

Mar 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexander P Gurrola, MDNPI 1033193776

Title

Owner/President

Phone

(580) 226-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander P. Gurrola, MD

  • Gastroenterology Physician
  • Ardmore, OK
  • NPI 1033193776
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1063513638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1986",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011986",
            "telephone_number": "580-226-6500",
            "fax_number": "580-226-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015708",
            "telephone_number": "580-226-6500",
            "fax_number": "580-226-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER P GURROLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "GURROLA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "580-226-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "16537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Gastroenterology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.