CARL M GAUTHIER JR. (NPI# 1649460239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649460239 |
| Entity Type | Individual |
| Full Name | CARL M GAUTHIER JR. |
| Credential | M.D. |
| Practice Address |
15813 Paul Vega Md Dr Hammond LA 70403-1495 |
| Mailing Address |
15813 Paul Vega Md Dr Suite 400 Hammond LA 70403-1495 |
| Practice Telephone | 9852301835 |
| Practice Fax Number | 9852301836 |
| Mailing Telephone | 9852301835 |
| Mailing Fax Number | 9852301836 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD.201999 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1077330 | 05 |
| Street Address |
15813 PAUL VEGA MD DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765954 | Charles R Ducombs | Internal Medicine | 15813 Paul Vega Md Dr, Suite 300, Hammond, LA 70403-1426 | 2006-01-23 |
| 1700444064 | Jamie Theresa Pierre | Audiologist | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2019-06-03 |
| 1194288068 | Hospital Service District #1 of Tangipahoa Parish | Pharmacy | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2019-04-09 |
| 1083143457 | Jeni Abrams Dunnington | Audiologist | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2017-06-08 |
| 1982145470 | Carla Graves | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 100, Hammond, LA 70403-1426 | 2017-03-16 |
| 1750745964 | Kaila Smith | Nurse Practitioner | 15813 Paul Vega Md Dr, Ste 401 - Urology Clinic, Hammond, LA 70403-1426 | 2016-04-13 |
| 1326405721 | Shawn Dearie | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 300, Hammond, LA 70403-1426 | 2016-01-15 |
| 1992186100 | Jodee Bernier | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 202, Hammond, LA 70403-1426 | 2015-06-12 |
| 1659763118 | Corie M Downing | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 300a, Hammond, LA 70403-1426 | 2015-02-20 |
| 1104227107 | Hannah J Smitherman | Speech-Language Pathologist | 15813 Paul Vega Md Dr, Suite 301, Hammond, LA 70403-1426 | 2014-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770709404 | Northlake Rheumatology, Pmllc | Internal Medicine | 15752 Medical Arts Dr, Ste. 100, Hammond, LA 70403-1446 | 2007-04-18 |
| 1881139533 | Cypress Pointe Physicians Network LLC | Internal Medicine | 42570 S Airport Rd, Hammond, LA 70403-0946 | 2017-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517762 | Center for Orthopaedics and Spine LLC | Internal Medicine | 4150 Nelson Rd Ste C11, Lake Charles, LA 70605-4133 | 2020-10-30 |
| 1710430749 | Cypress Pointe Physicians Network, LLC | Internal Medicine | 70325 Highway 1077, Covington, LA 70433-7836 | 2016-07-26 |
| 1508143942 | James M Belue, A Medical Corporation | Internal Medicine | 707 South Vienna Sreet, Ruston, LA 71270-5845 | 2011-11-14 |
| 1962794404 | Louisiana Arthritis and Rheumatology,llc | Internal Medicine | 457 Ashley Ridge Blvd Ste C, Shreveport, LA 71106-7229 | 2011-05-03 |
| 1609166313 | Magdalena Budziakowska | Internal Medicine | 4315 Houma Blvd Ste 303, Metairie, LA 70006-2944 | 2011-04-14 |
| 1245554278 | Jerry Wayne Pounds Jr. | Internal Medicine | 2633 Napoleon Ave Ste # 530, New Orleans, LA 70115 | 2010-03-19 |
| 1396904090 | Harmanjot Kaur Grewal | Internal Medicine | 7777 Hennessy Blvd Ste 501a, Baton Rouge, LA 70808 | 2008-06-06 |
| 1164612479 | Bobby James Dupre | Internal Medicine | 4463 La Highway 1 S, Suite A, Port Allen, LA 70767-5989 | 2007-08-01 |
| 1336339118 | Austin Michael Fraser | Internal Medicine | 2633 Napoleon Ave Ste 530, New Orleans, LA 70115-7424 | 2007-07-27 |
| 1235349580 | Mary Katherine Walton | Internal Medicine | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2007-05-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.