NPIMap

Individual provider Active NPI

Marc Gautier, M.D.

  • Hematology & Oncology Physician
  • Lebanon, NH
National Provider Identifier
1477571297
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
10784 Issued in NH
Practice address
1 Medical Center Dr
Section of Hematology/Ioncology
Lebanon, NH 03756-1000
Phone
(603) 650-5529
Fax
(603) 650-5830
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 10784 NH Primary
Hematology & Oncology Physician 207RH0003X 042-0011049 VT

Addresses

Primary practice location

1 Medical Center Dr
Section of Hematology/Ioncology
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5529

Other identifiers 2

IdentifierTypeStateIssuer
0RE5405MedicaidVT
30200443MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000158 NH Practitioner - HematologyPractitioner - Hematology/Oncology 8921072513 Reassigns benefits to 5 organizations
I20051221000682 VT Practitioner - Hematology/Oncology 8921072513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Hematology/Oncology
Education
Geisel School of Medicine at Dartmouth, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, shared by 2 NPIs, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

1080 Hospital Dr
Saint Johnsbury, VT 05819-6001
Phone (802) 257-5000

53 Fairview St
Brattleboro, VT 05301-6630
Phone (802) 257-5000

Hospital & facility affiliations

  • Weeks Medical Center Hospital, Lancaster, NH, CCN 301303
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303
  • Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310
  • North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0011049VTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic Hematology & Oncology CurrentSince Feb 1, 2011 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 14, 1999 Accepting new patients
Dartmouth-Hitchcock Clinic Hematology & Oncology CurrentSince Sep 16, 1999 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 14, 1999 Accepting new patients
Weeks Medical Center Current Accepting new patients
Brattleboro Memorial Hospital PastSince Aug 1, 2016 Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

53 Fairview St
Brattleboro, VT 05301
Phone (802) 251-8455

1080 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 473-4100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
  • Direct secure messaging: mgautier12973@direct.dartmouth-hitchcock.org

Organizations & group practices 8

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 10

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1477571297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5529",
            "fax_number": "603-650-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "SECTION OF HEMATOLOGY/IONCOLOGY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5529",
            "fax_number": "603-650-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTIER",
        "first_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "10784",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VT",
            "license": "042-0011049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE5405",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200443",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.