East Haddam Medical Associate,pc
NPI 1063472363 · Physician Assistant · Moodus, CT
East Haddam Medical Associate,pc is a Physician Assistant organization in Moodus, CT (NPI 1063472363).
Provider details
- NPI number
- 1063472363
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Pamela Gourlie, Office Manager(860) 873-8983
- License
- 024845 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2025-09-11
Frequently asked questions
- What is East Haddam Medical Associate,pc's NPI number?
- East Haddam Medical Associate,pc's National Provider Identifier (NPI) is 1063472363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Haddam Medical Associate,pc?
- East Haddam Medical Associate,pc is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is East Haddam Medical Associate,pc located?
- East Haddam Medical Associate,pc's practice location on file with NPPES is 16 William F Palmer Rd, Moodus, CT 06469-1131.
- What is East Haddam Medical Associate,pc's phone number?
- The practice phone number listed in the NPPES registry for East Haddam Medical Associate,pc is (860) 873-1414.
- Who is the authorized official for East Haddam Medical Associate,pc?
- The authorized official listed on East Haddam Medical Associate,pc's NPPES record is Pamela Gourlie, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Haddam Medical Associate,pc's NPI active?
- Yes — East Haddam Medical Associate,pc's NPI (1063472363) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.