Individual provider Active NPI

Newell Erwin Gauthier Jr., M.D.

  • Family Medicine Physician
  • Cottonport, LA
National Provider Identifier
1932146131
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD011868 Issued in LA
Practice address
912 Bryan St
Cottonport, LA 71327-4288
Phone
(318) 876-3696
Fax
(318) 876-3211
NPI assigned
May 31, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD011868 LA Primary

Addresses

Primary practice location

912 Bryan St
Cottonport, LA 71327-4288

Mailing address

PO Box 489
Cottonport, LA 71327-0489
Phone (318) 876-3696

Other identifiers 1

IdentifierTypeStateIssuer
1949876MedicaidLA

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
I20050920000043 LA Practitioner - Family PracticePractitioner - General Practice 9931132081 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD011868LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope's Children & Family Care Clinic, LLC CurrentSince Sep 3, 2013 Accepting new patients

Locations

338 Moreau St
Ste A
Marksville, LA 71351
Phone (318) 253-2299

338 Moreau St
Ste B
Marksville, LA 71351
Phone (318) 253-2299

434 E Chestnut St
Marksville, LA 71351
Phone (318) 253-2299

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3773/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1932146131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713270489",
            "telephone_number": "318-876-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 BRYAN ST",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713274288",
            "telephone_number": "318-876-3696",
            "fax_number": "318-876-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "NEWELL",
        "middle_name": "ERWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD011868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonport, LA

Sources for this page

Verify at the official NPI Registry.