Ethna McGourty, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A66144 Issued in CA

Practice address

475 Marlowe St
Palo Alto, CA 94301-2221

Phone

(650) 326-2411

NPI assigned

Mar 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1669746673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MARLOWE ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012221",
            "telephone_number": "650-326-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MARLOWE ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012221",
            "telephone_number": "650-326-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOURTY",
        "first_name": "ETHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A66144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan McGarry, LCSW
• Debra Jeanne McGee-Smith, N.P.
• Stephanie Marie McGee, DPT
• Sean Austin McGhee, M.D.
• Kathleen Larkin McGinn, MD
• Daniel Patrick McGrath, MPT
• Emma Elizabeth J McGrath, AUD
• Phyllis Neyer McGrath, RN, MS, VASC CNS
• Steve McGraw, PSY.D.
• Anna Grace McGregor, MD, MS, MPH

• Primary Care Clinic/Center in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.