IndividualActive
Michael Mcgourty, PA-C
NPI 1275601056 · Medical Physician Assistant · Newport, RI
Provider details
- NPI number
- 1275601056
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA00221 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
93 Thames St
Newport, RI 02840-2536
Phone: (401) 846-4150
Fax: (401) 846-9340
Approximate (ZIP-level) locationGet directions
Mailing address
56 Oak St
Middletown, RI 02842-4945
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2018-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.