Newell E. Gauthier, Jr. MD
Organization Active NPI Rural Health Clinic/Center · Cottonport, LA
NPI 1093933103 · NPPES record last updated Jan 10, 2008
Key facts
- NPI
- 1093933103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 109 (LA)
- Legal business name
- NEWELL E. GAUTHIER, JR. MD
- Practice address
- 912 Bryan St.
Cottonport, LA 71327 - Phone
- (318) 876-3696
- Fax
- (318) 876-3211
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Newell E Gauthier Jr., M.D.
- Title
- Owner
- Phone
- (318) 876-3696
Practitioners 7
-
Karla Faye Carter, FNP
-
Ashley Sarah Farris, FNP
-
Paula Weaver Gates, APRN
-
Madeleine Julie Hebert, LMSW
-
Angela V Huval, LCSW
National Provider Directory
Locations
912 Bryan St
Cottonport, LA 71327
Phone (318) 876-3696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 109 | LA | Yes |
Addresses
Primary practice location
912 Bryan St.
Cottonport, LA 71327
Mailing address
912 Bryan St.
Cottonport, LA 71327
Phone (318) 876-3696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1448575 | Medicaid | LA |
Other providers in Cottonport, LA
- Jarod Huffman
- Herndon Martin Jeansonne II
- Joey Lacombe
- Louisiana Health Care Practitioners LLC
- Marlon L Holmes, DDS a Professional Corporation
- Gregory Russell Poret
- Poret'S Thrifty Way Pharmacy, Inc,
- Rande Price
- Kymberly G Robeau
- Shannon Rozas
All providers in Cottonport, LA · Rural Health Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.