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LAURA DEANN CHAMPION MD NPI 1558314765


NPI Information

NPI: 1558314765
Provider Name: LAURA DEANN CHAMPION, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3195 KNIGHT WAY SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 526-6187
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Laura Deann Champion, MD is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Laura Deann Champion, MD NPI is 1558314765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3195 KNIGHT WAY SE
GRAND RAPIDS, MI
ZIP 49546-409
Phone: (616) 526-6187
Fax: (616) 526-6548

The enumeration date for this NPI number is 5/18/2006 and was last updated on 12/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301068521MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11609147339OTHERMICHIGANCALVIN COLLEGE HEALTH SERVICES GROUP NPI
24876913MEDICAIDMICHIGAN
3H09131MEDICARE UPINMICHIGAN
44202588MEDICAIDMICHIGAN
54161028MEDICAIDMICHIGAN
64166857MEDICAIDMICHIGAN
7M02830068MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
8M69390117MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
94166848MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.