Individual provider Active NPI

Lisa Crawford Gautreau, MD

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1083614101
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14908R Issued in LA
Practice address
9000 Airline Hwy
Suite 620
Baton Rouge, LA 70815-4114
Phone
(225) 927-5480
Fax
(225) 925-0896
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14908R LA Primary

Addresses

Primary practice location

9000 Airline Hwy
Suite 620
Baton Rouge, LA 70815-4114

Mailing address

500 Rue de la Vie St Ste 305
Baton Rouge, LA 70817-5126
Phone (225) 927-5480

Other identifiers 1

IdentifierTypeStateIssuer
1159891MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000521 LA Practitioner - Obstetrics/Gynecology 5890882898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Women'S Healthcare Associates LLCGroup PAC ID 4587629365, 37 clinicians

Practice addresses (Care Compare)

500 Rue de la Vie St
Baton Rouge, LA 70817-5127
Phone (225) 201-2000

Hospital & facility affiliations

  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14908RLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Women'S Healthcare Associates LLC. Obstetrics & Gynecology CurrentSince Sep 1, 2016 Accepting new patients

Locations

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817
Phone (225) 201-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1083614101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST STE 305",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-927-5480",
            "fax_number": "225-925-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 AIRLINE HWY",
            "address_2": "SUITE 620",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154114",
            "telephone_number": "225-927-5480",
            "fax_number": "225-925-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAU",
        "first_name": "LISA",
        "middle_name": "CRAWFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "14908R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159891",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.