Gavin D Chartier LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01041179 Issued in IN

Legal business name

GAVIN D CHARTIER LLC

Doing business as

Willow Creek Pain Center

Practice address

328 N 2ND St
Suite 308
Vincennes, IN 47591-1351

Phone

(812) 886-1151

Fax

(812) 886-5330

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gavin Douglas Chartier, MD

Title

Ownder/Ceo

Phone

(812) 886-1151

Specialties & licenses 1

Addresses

Other names 1

• Willow Creek Pain Center Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1497841068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N 2ND ST",
            "address_2": "SUITE 308",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911351",
            "telephone_number": "812-886-1151",
            "fax_number": "812-886-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 2ND ST",
            "address_2": "SUITE 308",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911351",
            "telephone_number": "812-886-1151",
            "fax_number": "812-886-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN D CHARTIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNDER/CEO",
        "authorized_official_telephone_number": "812-886-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01041179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Fuller, FNP-C
• Kathleen Garner
• April Michelle Garrett, MSOT
• Erin Christene Garton, COTA
• Gastrointestinal Specialists,PC
• Kelly J Gay, MSW, LCSW
• Brian Joseph Gebhardt, M.D.
• Genoa Healthcare LLC
• Gentlecare Inc.
• Gentox Wellness Clinic LLC

• Interventional Pain Medicine Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.