Marie G Gauthier, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301044702 Issued in MI

Practice address

515 Mulholland St
Bay City, MI 48708-7644

Phone

(989) 892-3541

Fax

(989) 892-5336

NPI assigned

Oct 27, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• ENT Clinic P.C.

  • Otolaryngology Physician
  • Bay City, MI
  • NPI 1285625020
  NPD

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1902896111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MULHOLLAND ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087644",
            "telephone_number": "989-892-3541",
            "fax_number": "989-892-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MULHOLLAND ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087644",
            "telephone_number": "989-892-3541",
            "fax_number": "989-892-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "MARIE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301044702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1405068",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROVIDER ID",
            "identifier": "0987594",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0400900151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karli Rae Gasta
• Cassen Gates
• Cynthia Gatsa
• Geena Rei Gauthier
• Jorja Gauthier
• Thomas Gawthrop
• Christian Gbassa
• Jenifer Lynn Gee
• Shelby Geiger
• Demarrea Terrell General

• Otolaryngology Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.