JERRY W GAUTHIER (NPI# 1740203397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740203397 |
| Entity Type | Individual |
| Full Name | JERRY W GAUTHIER |
| Credential | MD |
| Practice Address |
1140 Business Center Dr Suite 370 Houston TX 77043-2737 |
| Mailing Address |
Po Box 421756 Houston TX 77242-1756 |
| Practice Telephone | 7132716881 |
| Mailing Telephone | 2818806991 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
H9945 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00358430 | 01 |
| Street Address |
1140 BUSINESS CENTER DR SUITE 370 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123862 | Ali Azimpoor | Neurological Surgery | 1140 Business Center Dr, Suite 490, Houston, TX 77043-2737 | 2005-06-10 |
| 1558995514 | Edilma Ofir Sosa | Physical Therapist | 1140 Business Center Dr, Houston, TX 77043-2737 | 2020-02-28 |
| 1467967745 | Alliance Dx, LLC | Clinical Medical Laboratory | 1140 Business Center Dr, Houston, TX 77043-2737 | 2017-12-07 |
| 1306204425 | Jeffrey N. Bowman,dpm, PC | Podiatrist | 1140 Business Center Dr, Suite 510, Houston, TX 77043-2737 | 2016-02-03 |
| 1538552716 | Interventional Pain and Recovery Center, Pllc | Physical Medicine & Rehabilitation | 1140 Business Center Dr, Ste. 580, Houston, TX 77043-2737 | 2015-03-11 |
| 1265832380 | Applied Diagnostics Associates Pa | Specialist | 1140 Business Center Dr, Suite 370, Houston, TX 77043-2737 | 2014-08-26 |
| 1780924571 | Dream Pharmacy Inc | Pharmacy | 1140 Business Center Dr, Ste 103, Houston, TX 77043-2737 | 2013-02-15 |
| 1821337049 | Kimberlee Kruger Perras | Nurse Practitioner | 1140 Business Center Dr, Suite 550, Houston, TX 77043-2737 | 2013-02-07 |
| 1710236252 | Reid Arthur Fayrweather | Nurse Practitioner | 1140 Business Center Dr, Suite 201, Houston, TX 77043-2737 | 2012-08-30 |
| 1922386663 | Westview Medical Consultants LLP | Anesthesiology | 1140 Business Center Dr, Ste 580, Houston, TX 77043-2737 | 2011-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1770861452 | Myofascial Pain Center | Rehabilitation Practitioner | 1140 Business Center Dr. Ste. 580, Houston, TX 77043 | 2011-07-28 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| Find all providers in zip 77043 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840730 | Peachy Ridgway Gilmer Jr. | Pathology | 35 Tiel Way, Houston, TX 77019-1509 | 2016-02-05 |
| 1992189559 | Lina Abdul Karim | Pathology | 1515 Holcombe Blvd # 085, Houston, TX 77030-4000 | 2015-07-14 |
| 1346622834 | Brooke Blake | Pathology | 1861 Old Spanish Trl, Houston, TX 77054-2001 | 2015-06-22 |
| 1215315619 | Andreia Nogueira Barbieri | Pathology | 6565 Fannin St # M1-076, Houston, TX 77030-2703 | 2015-05-18 |
| 1174900146 | Ghadah Al Sannaa | Pathology | 7903 Windswept Ln, Houston, TX 77063 | 2015-04-29 |
| 1770992364 | Leo Joseph Williams Jr. | Pathology | 11726 Legend Manor Dr, Houston, TX 77082-3076 | 2014-08-07 |
| 1851737845 | Nicola E Dundas | Pathology | 2525 W. Bellfort Avenue, Suite 120, Houston, TX 77054-5024 | 2013-05-16 |
| 1720423270 | Joshua Baalwa | Pathology | 5656 Kelley St Dept Of, Houston, TX 77026-1967 | 2013-05-09 |
| 1518301613 | Mhair Dekmezian | Pathology | 3732 Glen Haven Blvd, Houston, TX 77025-1205 | 2013-04-19 |
| 1841634110 | Anneliese Velez-perez | Pathology | 2525 W. Belfort Avenue, Suite 120, Houston, TX 77054-5024 | 2013-04-17 |
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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.