Stuart J Gourlay, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A022868 Issued in CA

Practice address

1430 Tara Hills Dr
Ste. D
Pinole, CA 94564-2580

Phone

(510) 724-5714

Fax

(510) 724-5733

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

University of California, San Francisco School of Medicine, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgourlay111160@direct.renown.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346374378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "STE. D",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-5714",
            "fax_number": "510-724-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "STE. D",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-5714",
            "fax_number": "510-724-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLAY",
        "first_name": "STUART",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A022868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaina Gong, PHARMD
• Lorena Gonzalez
• Mailene Michele Gonzalez
• Gordon Lee Watson,Jr.,D.D.S. Inc.
• Kristin Gorton
• Cindy Clayton Gracely, OTR
• Kimberly Ann-Marie Grant, RPH
• Marta Grau Batlle
• Gregory S Meyers DDS MSD
• Michael Grimes, D.P.M.

• Surgery Physician in Pinole, CA
• Providers in Pinole, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.