Individual provider Active NPI

Craig Michael Gauthier, MD

  • Obstetrics & Gynecology Physician
  • New Iberia, LA
National Provider Identifier
1467475475
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
09814R Issued in LA
Practice address
520 N Lewis St
Suite 102
New Iberia, LA 70563-2094
Phone
(337) 367-9411
Fax
(337) 256-8892
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 09814R LA Primary

Addresses

Primary practice location

520 N Lewis St
Suite 102
New Iberia, LA 70563-2094

Mailing address

520 N Lewis St
Suite 102
New Iberia, LA 70563-2094
Phone (337) 367-1291

Other identifiers 1

IdentifierTypeStateIssuer
1684864MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110225000550 LA Practitioner - Obstetrics/Gynecology 7012059330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Medical Dr
Franklin, LA 70538-4231
Phone (337) 828-5099

2205 Old Jeanerette Rd
New Iberia, LA 70563-8687
Phone (337) 367-9411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09814RLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Oct 23, 2019 Accepting new patients
Gauthier Medical and Wellness CurrentSince Mar 2, 2013 Accepting new patients
Abbeville General Hospital CurrentSince Feb 20, 2016 Accepting new patients
Abbeville General Hospital CurrentSince Feb 20, 2016 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Obstetrics & Gynecology CurrentSince Oct 23, 2019 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

200 Medical Dr
Ste A
Franklin, LA 70538
Phone (337) 907-6354

200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

2205 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 367-9411

520 N Lewis St
Ste 102
New Iberia, LA 70563
Phone (337) 256-8426

Organizations & group practices 6

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 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1467475475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N LEWIS ST",
            "address_2": "SUITE 102",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632094",
            "telephone_number": "337-367-1291",
            "fax_number": "337-365-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N LEWIS ST",
            "address_2": "SUITE 102",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632094",
            "telephone_number": "337-367-9411",
            "fax_number": "337-256-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "09814R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684864",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.