DR. COLLEEN MCGOURTY MD, PHD
NPI 1700527926
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Colleen Mcgourty's NPI number?

The NPI number for Colleen Mcgourty is 1700527926. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Q: What is Colleen Mcgourty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Mcgourty was last updated on April 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2022PECOS Enrolled

505 PARNASSUS AVE RM M-1480, SAN FRANCISCO, CA 94143(415) 476-1529 Get Directions Write a Review

NPPES record last updated: April 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Colleen Mcgourty Md, Phd NPPES

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

DR. COLLEEN MCGOURTY MD, PHD (NPI 1700527926) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700527926

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. COLLEEN MCGOURTYCredential: MD, PHD

Location Address505 PARNASSUS AVE RM M-1480San Francisco, CA 94143-2204

Mailing Address505 Parnassus Ave Rm M-1480San Francisco, CA 94143-2204 · (415) 476-1529

Phone(415) 476-1529

Sole ProprietorNo

Enumeration DateApril 3, 2022

NPPES CertifiedApril 3, 2022

✔ NPI 1700527926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

505 PARNASSUS AVE RM M-1480, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Colleen Mcgourty Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

TSION ABRAHAM MD

Student in an Organized Health Care Education/Training Program