Jean Paul Gourguechon

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

132 Issued in MT

Practice address

610 N California St
Missoula, MT 59802-3950

Phone

(406) 721-1646

Fax

(406) 543-9890

NPI assigned

Feb 20, 2007

Sex

Male

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15229/brand/1/csg/1/fhir/r4

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.

• Blue Mountain Clinic, Inc.

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1407987548
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801931977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N CALIFORNIA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023950",
            "telephone_number": "406-721-1646",
            "fax_number": "406-543-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CALIFORNIA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023950",
            "telephone_number": "406-721-1646",
            "fax_number": "406-543-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURGUECHON",
        "first_name": "JEAN PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Gorman, M.D.
• Kyle Patrick Goroski, D.M.D.
• Dirk R Gottman, MD
• Alyeska Gottschlich
• Jennifer Lynn Gouldsberry-Wellman, ACT
• Morgan Gow
• Christine R. Graden, OTR/L
• Mary Ann Grady, RN
• Austin Graef
• Samantha Graff, ATC

• Acupuncturist in Missoula, MT
• Providers in Missoula, MT by specialty
• Acupuncturist in Montana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.