Organization Active NPI

Gauthier Medical and Wellness

  • Gynecology Physician
  • New Iberia, LA
National Provider Identifier
1013253913
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
09814R Issued in LA
Legal business name
GAUTHIER MEDICAL AND WELLNESS
Practice address
520 N Lewis St
Suite 102
New Iberia, LA 70563-2094
Phone
(337) 367-9411
Fax
(337) 256-8892
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig Michael Gauthier, MDNPI 1467475475
Title
Physician
Phone
(337) 367-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 09814R LA Primary

Addresses

Primary practice location

520 N Lewis St
Suite 102
New Iberia, LA 70563-2094

Mailing address

520 N Lewis St
Suite 102
New Iberia, LA 70563-2094
Phone (337) 367-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130610000447 LA Part B Supplier - Clinic/Group Practice 1759520471 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, LA; New Iberia, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2055233Gauthier Medical & Wellness, L L C520 North Lewis St, Suite 102, New Iberia, LA 70563Provider-performed microscopyMar 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1013253913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N LEWIS ST",
            "address_2": "SUITE 102",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632094",
            "telephone_number": "337-367-9411",
            "fax_number": "337-256-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N LEWIS ST",
            "address_2": "SUITE 102",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632094",
            "telephone_number": "337-367-9411",
            "fax_number": "337-256-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTHIER MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-367-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "09814R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.