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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL ANTHONY MCGOURTY, PA-C

Active

MICHAEL ANTHONY MCGOURTY, PA-C is a Medical Physician Assistant healthcare provider located in NEWPORT, Rhode Island. NPI 1275601056 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEWPORT, RI

Registration Details

NPI Number
1275601056
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2006 (19.667061552877 yrs)
Last Updated
Dec 21, 2018
Licenses
PA00221 (RI)
PAC00221 (RI)

Practice Information

Address
93 THAMES ST
NEWPORT, RI, 028402536
Browse RI providers · Browse ZIP 02840
Phone
4018464150
Fax
4018469340
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in NEWPORT, RI

Name Credential NPI
MS. KELLEY A NEWMAN BS 1295709400
JOHN T JACKSON PA-C 1295792687
TIMOTHY J THOMPSON PA 1174548101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.