NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Haddam Medical Associate,PC

Physician Assistant in Moodus, CT · enumerated 2006 · authorized official Pamela Gourlie, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063472363

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name East Haddam Medical Associate,PC
Practice address 16 William F Palmer Rd, Moodus, CT, 06469
Phone (860) 873-1414
Fax (860) 873-3428
Enumeration date Mar 23, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 024845 (CT) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 000457 (CT) Primary

Authorized official

Name Pamela Gourlie
Title Office Manager
Phone (860) 873-8983

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for East Haddam Medical Associate,PC?
NPPES lists Pamela Gourlie (Office Manager) as the authorized official for this organization.
What is the NPI number for East Haddam Medical Associate,PC?
The NPI for East Haddam Medical Associate,PC is 1063472363, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.