Gauthier Surgical Care PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GAUTHIER SURGICAL CARE PLLC

Practice address

391 Norwich Westerly Rd BLDG 1
North Stonington, CT 06359-9992

Phone

(860) 464-4155

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Gauthier, MDNPI 1417362955

Title

Physician

Phone

(860) 464-4155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, RI2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Gauthier, M.D.

  • Surgery Physician
  • New London, CT
  • NPI 1417362955

  RI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1275410177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 NORWICH WESTERLY RD BLDG 1",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063599992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 NORWICH WESTERLY RD BLDG 1",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063599992",
            "telephone_number": "860-464-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTHIER SURGICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-464-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Deindorfer, MD
• Dr Stefana Pecher LLC
• Peter L. Drake
• B J Drew V, APRN
• Elizabeth Ferland, APRN
• Ann Marie Gore, DC
• Faouzi Hage, PA-C
• Colleen Hicks, MS CCC-A
• Amanda Hill
• Kylie Hynes

• Surgery Physician in North Stonington, CT
• Providers in North Stonington, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.