Physician Compare National (NPI:1033193776)

HEALTHCARE PROVIDER: ALEXANDER P. GURROLA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033193776
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901074640
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110722000427
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GURROLA
	Individual professional last name
Provider First Name	ALEXANDER
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	812 12TH AVE NW
	Group Practice or individual's line 1 address
City	ARDMORE
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	734015708
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL ARDMORE, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	371326
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INTEGRIS MARSHALL COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	371304
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY HOSPITAL TISHOMINGO INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	371328
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ARBUCKLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	371306
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MERCY HEALTH LOVE COUNTY
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1033193776)

HEALTHCARE PROVIDER: ALEXANDER P. GURROLA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information