Individual provider Active NPI

George C Gourley, DO

  • Obstetrics & Gynecology Physician
  • Provo, UT
National Provider Identifier
1457469249
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
870469392 Issued in UT
Practice address
585 N 500 W
Provo, UT 84601-1548
Phone
(013) 741-8018
Fax
(801) 216-8357
NPI assigned
Aug 29, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 870469392 UT Primary

Addresses

Primary practice location

585 N 500 W
Provo, UT 84601-1548

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (013) 741-8018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20101228000996 UT Practitioner - Obstetrics/Gynecology 9638367154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology PastSince Jun 22, 2021 Accepting new patients
George C Gourley, DO PastSince Nov 4, 1988 Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients

Locations

527 W 400 N
Ste 4
Orem, UT 84057
Phone (801) 225-9991

700 W 800 N
Ste 200
Orem, UT 84057
Phone (385) 347-5450

1055 N 300 W
Ste 108
Provo, UT 84604
Phone 8013577377 ext. 3

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

692 E Market Place Dr
Ste 300
Spanish Fork, UT 84660

819 E Market Place Dr
Fl 3
Spanish Fork, UT 84660
Phone (801) 374-1801

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1457469249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "013-741-8018",
            "fax_number": "012-168-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "013-741-8018",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "870469392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.