George C Gourley, DO

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

180191-1204 Issued in UT

Legal business name

GEORGE C GOURLEY, DO

Practice address

1055 N 300 W
Suite 305
Provo, UT 84604-3344

Phone

(801) 357-7190

Fax

(801) 356-3107

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Shanna Cushing, CPC

Title

Coding, Billing

Phone

(801) 357-7190

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.

• George C Gourley, DO

  • Obstetrics & Gynecology Physician
  • Provo, UT
  • NPI 1457469249
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1134435837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "SUITE 305",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-357-7190",
            "fax_number": "801-356-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "SUITE 305",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-357-7190",
            "fax_number": "801-356-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C GOURLEY, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "CUSHING",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "CODING, BILLING",
        "authorized_official_telephone_number": "801-357-7190",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "UT",
            "license": "180191-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528785217006",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Tabitha Geiger
• Margaret Victoria Geilman, APRNI
• Hannah Jean Gellerstedt
• Genesis Dental of Provo
• Hillary Gentillon
• Christa George
• Laurel Diane George
• Lisa J George, PA-C
• Paul W George, LCSW
• Erick Bernard Gerday, MD

• Gynecology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.