DR. ANTHONY RAYMOND GAUTHIER JR.


Address: 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650
Phone: 2693499648

DR. ANTHONY RAYMOND GAUTHIER JR. (NPI# 1548203540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548203540
Entity Type Individual
Full Name DR. ANTHONY RAYMOND GAUTHIER JR.
Credential M.D.
Practice Address 1535 Gull Rd
Suite 150
Kalamazoo
MI 49048-1650
Practice Telephone 2693499648
Practice Fax Number 2693497378
Mailing Telephone 2693499648
Mailing Fax Number 2693497378
Enumeration Date 2006-06-14
Last Update Date 2014-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 4301079102 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS IND PIN 3403905992 01
MI BCBS GRP PIN 340C910480 01
MI 4514727-10 05
AETNA PIN 7405371 01
GREAT LAKES HLTH PLN 155406 01

Other Providers ANTHONY GAUTHIER

NPI Name Taxonomy Address Enumeration
1073766101 Anthony Gauthier Physician Assistant 2760 Atlantic Ave, Long Beach, CA 90806-2755 2008-11-03
1538374277 Anthony J Gauthier Counselor 2121 N Webb Rd, Suite 310, Grand Island, NE 68803-1751 2007-05-14

Office Location

Street Address 1535 GULL RD
SUITE 150
City KALAMAZOO
State MI
Zip Code 49048-1650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273855 Umakant Shivlal Doctor Internal Medicine 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 2005-05-23
1417489931 Katheryn Elisabeth Clark Advanced Practice Midwife 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 2017-04-03
1649714452 Susan Doan Physician Assistant 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2016-12-13
1144673070 Kristen Dib Advanced Practice Midwife 1535 Gull Rd, Kalamazoo, MI 49048-1650 2016-07-15
1366897670 Kalamazoo Acute Care Specialists Plc Emergency Medicine 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2016-04-25
1841670510 Elizabeth Bobo Nurse Practitioner 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 2015-06-08
1194163246 Tabitha Jane Ewert Physician Assistant 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1650 2013-06-11
1578858676 Michael Robert Mcbride Emergency Medicine 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2011-06-16
1295979474 Lewis Jeremy Johnson Surgery 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 2009-05-01
1134361215 Michael Lee Adix II Radiology 1535 Gull Rd, Suite #200, Kalamazoo, MI 49048-1650 2009-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316246192 Julie Anne Brownell Urology 601 John Street, Sutie M318, Kalamazoo, MI 49007-5341 2011-03-20
1972815348 Frederick Ian Berg Urology 601 John St, Kalamazoo, MI 49007-5341 2010-07-13
1912149683 Pamela Sue Baron Urology 601 John St, Ste M206c, Kalamazoo, MI 49007-5341 2009-03-27
1215158191 Healthcare Midwest PC Urology 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 2007-05-01
1164466009 Paul L Vandenbrink Urology 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 2006-06-15
1407890882 Mark A Lucas Urology 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 2006-06-15
1972546059 Robert R Isacksen Urology 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 2006-06-14
1134161268 James B Bour Urology 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 2006-06-12
1285672493 Gregor W Blix Urology 601 John St, Suite M206, Kalamazoo, MI 49007-5341 2006-06-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477488 Munson Healthcare Charlevoix Hospital Urology 11695 Park Ave, Suite A, Charlevoix, MI 49720 2020-11-06
1396235610 Munson Medical Center Urology 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 2018-05-11
1770072498 Bellin Health Iron Mountain Inc Urology 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 2018-05-08
1205215621 Alexander David Tapper Urology 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 2015-05-19
1912324211 Boston Medical Group, P.C. Urology 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 2014-03-25
1548600984 Katie Marie Rosen Urology 19991 Hall Rd Ste 201, Macomb, MI 48044 2013-06-30
1609213636 Arya Khatiwoda Urology 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 2013-05-31
1003179730 Kalen Jacob Rimar Urology 130 Town Center Dr Ste 101, Troy, MI 48084 2012-06-18
1780955294 Harry Nicholas Kotsis Urology 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 2012-01-16
1750678264 Michael Kozminski Urology 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 2011-07-05
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Competitor

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City KALAMAZOO
Zip Code 49048

Improve Information

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Dataset Information

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.

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