Organization Active NPI

Gourley Allergy & Asthma PC

  • Allergy Physician
  • Murray, UT
National Provider Identifier
1144648213
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
1838591205 Issued in UT
Legal business name
GOURLEY ALLERGY & ASTHMA PC
Practice address
6065 S Fashion Blvd
Ste 255
Murray, UT 84107-7381
Phone
(801) 266-4115
Fax
(801) 266-4138
NPI assigned
Apr 4, 2014
Last updated
Apr 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Davids S Gourley, MD
Title
Managing Member
Phone
(801) 266-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 1838591205 UT Primary

Addresses

Primary practice location

6065 S Fashion Blvd
Ste 255
Murray, UT 84107-7381

Mailing address

4646 S Farm Meadow LN
Salt Lake City, UT 84117-8064
Phone (801) 278-0730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1144648213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 S FARM MEADOW LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841178064",
            "telephone_number": "801-278-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 S FASHION BLVD",
            "address_2": "STE 255",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077381",
            "telephone_number": "801-266-4115",
            "fax_number": "801-266-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOURLEY ALLERGY & ASTHMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "GOURLEY",
        "authorized_official_first_name": "DAVIDS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-266-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "UT",
            "license": "1838591205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.