Michael Anthony McGourty, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAC00221 Issued in RI

Practice address

93 Thames St
Newport, RI 02840-2536

Phone

(401) 846-4150

Fax

(401) 846-9340

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1275601056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 OAK ST",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424945",
            "telephone_number": "401-829-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 THAMES ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402536",
            "telephone_number": "401-846-4150",
            "fax_number": "401-846-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOURTY",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00221",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PAC00221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McDonald
• Jeanette McDonald
• Scott E McDonald, M.D.
• Matthew D. McFadden, ATC
• Katherine Elizabeth McGahey
• Lauren A McGovern, LICSW
• Thomas E McGue, M.D.
• Haleigh McKone
• Vincent John McMahon, LCSW, ICSW, CDS,CDP
• Brian McMillen, M.D.

• Medical Physician Assistant in Newport, RI
• Providers in Newport, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.