Michael David Gautreaux, PH.D.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Practice address

145 Kimel Park Dr
Suite 250
Winston Salem, NC 27103-6984

Phone

(336) 716-4456

Fax

(336) 774-7665

NPI assigned

Nov 13, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427129279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 250",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-716-4456",
            "fax_number": "336-774-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 250",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-716-4456",
            "fax_number": "336-774-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAUX",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Mohammed Gatling
• Pamela Diane Gatto, MS LCAS
• Bonnie Lynn Gaudin, PA
• Natalie Gaughan, MD
• Corinne Elizabeth Gautreaux
• Genevieve Tom Gawidan, PT
• Robert M. Gay Jr., MD
• Yasmin Evette Gay, PHD, LCAS,LPC, CRC,
• Naila Gazale-Lowe, ATR,LPC
• Diane Fischer Gburek, RPH

• Ph.D. Medical Genetics in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ph.D. Medical Genetics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.