Katie Marie Gauthier, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5701 Bow Pointe Dr Ste 370
Clarkston, MI 48346-5403

Phone

(248) 625-4055

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: kgauthier3047479@direct.trinity-health.org
• Direct secure messaging: katie.gauthier.1@8884.direct.athenahealth.com

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.

• Endoscopic Solutions PC

  • Gastroenterology Physician
  • Clarkston, MI
  • NPI 1164460085
  Medicare reassignment

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1417734732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 370",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 370",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465403",
            "telephone_number": "248-625-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan G Garretson, O.D.
• Elaina Nicole Garvonic, PHARMD
• Garwood Associates L L C
• Stanley B. Garwood Jr., MSW LMSW
• Stephanie Gaumer, LMSW
• Attlah Gentry, LMSW
• Kellie Kay George, A.T.C.
• Lora Gianino, L.L.P.C.
• Jason Andrew Giannini, L.P.C.
• Kimberly Giberson

• Physician Assistant in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.