Individual provider Active NPI

Lorraine Marie Gauthier, MD

  • Family Medicine Physician
  • Oak Island, NC
National Provider Identifier
1194874420
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01682 Issued in NC
Practice address
4700 E Oak Island Dr
Oak Island, NC 28465-5257
Phone
(910) 278-6414
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-01682 NC Primary

Addresses

Primary practice location

4700 E Oak Island Dr
Oak Island, NC 28465-5257

Mailing address

4700 E Oak Island Dr
Oak Island, NC 28465-5257
Phone (910) 278-6414

Other practice location 1

1475 W Grand Ave
Port Washington, WI 53074-2074
Phone (262) 268-5100

Other identifiers 1

IdentifierTypeStateIssuer
P00750285OtherWIRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200323003457 NC Practitioner - Family Practice 9638223977

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, shared by 6 NPIs, 53 clinicians

Practice addresses (Care Compare)

4700 E Oak Island Dr
Oak Island, NC 28465-5257
Phone (910) 457-3827

Hospital & facility affiliations

  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01682NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients

Locations

4700 E Oak Island Dr
Oak Island, NC 28465
Phone (910) 278-6414

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

Organizations & group practices 2

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 5

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1194874420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-278-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-278-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Port Washington",
            "state": "WI",
            "postal_code": "530742074",
            "country_code": "US",
            "telephone_number": "262-268-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "LORRAINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00750285",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Island, NC

Sources for this page

Verify at the official NPI Registry.