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THERESA GOURDE MD
NPI 1487688685
Internal Medicine in South Jordan, UT

Active since July 11, 2006
10623 S REDWOOD RD, SUITE 101, SOUTH JORDAN, UT 84095(801) 302-0899(801) 302-0892 Get Directions Write a Review

NPPES record last updated: April 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Gourde Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA GOURDE MD (NPI 1487688685) is an individual internal medicine provider in South Jordan, Utah, licensed in Utah (111485-1205) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1487688685
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHERESA GOURDECredential: MD
Location Address10623 S REDWOOD RD, SUITE 101South Jordan, UT 84095-2481
Mailing Address10623 S Redwood Rd, Suite 101South Jordan, UT 84095-2481 · (801) 302-0899 · Fax (801) 302-0892
Phone(801) 302-0899
Fax(801) 302-0892
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 3, 2010
✔ NPI 1487688685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 111485-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10623 S REDWOOD RD, South Jordan, UT 84095
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Other Identifiers 8

Medicare PIN000060282UT
Medicare PINP00731891
Medicare PIN000066664UT
Other111485-1205UT · Medical License
Medicare PINP00441295
Medicaid1982871828UT
Medicare UPINF64965UT
Medicaid1447360383UT

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH VALLEY ORTHOMED, PLLC
Orthopaedic Surgery
10623 S REDWOOD RD, STE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 566-4242
MISS KATHRYN RENEE MARSHALL P.A.-C
Physician Assistant (Medical)
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 566-4242
ERIN KIMBALL PA-C
Physician Assistant
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-0899
ST. MARK'S SOUTH JORDAN FAMILY PRACTICE LLC
Family Medicine
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-0899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Gourde's NPI number?

The NPI number for Theresa Gourde is 1487688685. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Theresa Gourde located?

Theresa Gourde practices at 10623 S Redwood Rd Suite 101, South Jordan, UT 84095. The listed phone number is (801) 302-0899.

What is Theresa Gourde's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Theresa Gourde was last updated on April 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.