Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487617304 Individual Practitioner Female Practitioner

Dr. Laura S Bouch , DO

Pediatrics • Caledonia, MI

Professional Overview & Biography Verified Profile Summary

Dr. Laura Bouch, DO is a registered healthcare professional specializing in Pediatrics in Caledonia, MI. Practice services are available at 8941 N RODGERS CT SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8941 N Rodgers Ct Se

Caledonia, MI 493168013

Telephone 6162525300
Fax 6162525390
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Caledonia, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Caledonia, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 5101015239

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1487617304 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Julie Stinton

Nurse Practitioner

NPI 1275949398
Eric Shankin

Internal Medicine

NPI 1285384065
Terri Rosel , NP

Nurse Practitioner

NPI 1326270760

Nurse Practitioner

Dr. Aryn Johnson , DO

Family Medicine - Sports Medicine

NPI 1376586461

Doctor of Osteopathic Medicine (D.O.)

Valerie Kloosterman , PA-C

Physician Assistant

NPI 1487684262

Physician Assistant (Certified)

Karin Schmottlach , PA-C

Physician Assistant

NPI 1487860466

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2017

Registered at 8941 N RODGERS CT SE, CALEDONIA, MI 493168013 (Tel: 6162525300)

📍
Updated Business Mailing Address December 05, 2017

Registered at 5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 495199606 (Tel: 6162523243)

👤
Provider Name / Credentials Updated December 05, 2017

Recorded as LAURA BOUCH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Pediatrics (License #5101015239 in MI)

📍
Updated Business Mailing Address February 17, 2017

Registered at 5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 495199606

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 8941 N RODGERS CT SE, CALEDONIA, MI 493168013 (Tel: 6162525300)

📍
Updated Business Mailing Address June 17, 2014

Registered at 2122 HEALTH DR SW, SUITE 230, WYOMING, MI 495199698

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as LAURA BOUCH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Pediatrics (License #5101015239 in MI)

🟢
Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487617304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: October 01, 2018
Sole Proprietor: No

Mailing Address

5900 Byron Center Ave Sw, Attn: Medical Administration

Wyoming, MI 495199606

Phone: 6162525300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.