DR. SUSAN E BOUTERSE M.D.
NPI 1710903547
Pediatrics in Gig Harbor, WA

Active since July 14, 2006
4700 POINT FOSDICK DR NW STE 319, GIG HARBOR, WA 98335(253) 853-3888(253) 853-7393 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan E Bouterse M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN E BOUTERSE M.D. (NPI 1710903547) is an individual pediatrics provider in Gig Harbor, Washington, licensed in Washington (MD00035719) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710903547
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN E BOUTERSECredential: M.D.
Location Address4700 POINT FOSDICK DR NW STE 319Gig Harbor, WA 98335-1706
Mailing Address4700 Point Fosdick Dr Nw Ste 319Gig Harbor, WA 98335-1706 · (253) 853-3888 · Fax (253) 853-7393
Fax(253) 853-7393
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateDecember 21, 2012
NPI 1710903547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WA · MD00035719
Definition
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.
4700 POINT FOSDICK DR NW STE 319, Gig Harbor, WA 98335

Other Identifiers 2

Medicare UPING22269WA
Medicaid8231326WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
4700 POINT FOSDICK DR NW STE 319
GIG HARBOR, WA 98335
Nurse Practitioner (Pediatrics)
4700 POINT FOSDICK DR NW STE 319
GIG HARBOR, WA 98335
Nurse Practitioner (Pediatrics)
4700 POINT FOSDICK DR NW STE 319
GIG HARBOR, WA 98335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Bouterse's NPI number?

The NPI number for Susan Bouterse is 1710903547. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Susan Bouterse located?

Susan Bouterse practices at 4700 Point Fosdick Dr NW Ste 319, Gig Harbor, WA 98335. The listed phone number is (253) 853-3888.

What is Susan Bouterse's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Susan Bouterse was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.