THERESA GOURDE MD NPI 1487688685

NPI Information

  • NPI: 1487688685
  • Provider Name: THERESA GOURDE, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 10623 S REDWOOD RD
    SUITE 101
    SOUTH JORDAN, UT
    ZIP 84095
  • Phone: (801) 302-0899

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NPI Details

Theresa Gourde, MD is an internal medicine in South Jordan, UT. The provider is 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. Theresa Gourde, MD NPI is 1487688685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10623 S REDWOOD RD
SUITE 101
SOUTH JORDAN, UT
ZIP 84095-481
Phone: (801) 302-0899
Fax: (801) 302-0892

The enumeration date for this NPI number is 7/11/2006 and was last updated on 4/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine111485-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000060282MEDICARE PINUTAH
2P00731891MEDICARE PIN
3000066664MEDICARE PINUTAH
4111485-1205OTHERUTAHMEDICAL LICENSE
5P00441295MEDICARE PIN
61982871828MEDICAIDUTAH
7F64965MEDICARE UPINUTAH
81447360383MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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