Laurel Gotha, PA
Physician Assistant · Livonia, MI
Laurel Gotha, PA is a physician assistant with a practice address in Livonia, Michigan, and NPI 1912723826, issued on Nov 25, 2024. Check the license (Michigan 5601012980, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Laurel Gotha
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 5601012980 MI
Self-reported in NPPES; status is on the state search - Practice location
- 14555 Levan RD Ste 311, Livonia, MI 48154
- Phone
- (734) 655-2692
- Enumerated
- Nov 25, 2024
- Record last updated
- Oct 21, 2025
- Fax
- (734) 655-4218
- Medicare enrollment
- Enrolled (PECOS I20251020001355); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 14555 Levan RD Ste 311
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tamara Lark, RDRegistered Dietitian1861382756
- Emily Plante, RDRegistered Dietitian1962394189
- Rebecca Rehberg, NPAcute Care Nurse Practitioner1982433553
- Kathryn RobertsRegistered Dietitian1710879937
- Christina Salice, PA-CSurgical Critical Care Physician1316877137
- Molly Whalen, MDSurgery Physician1558924175
Verify Laurel Gotha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5601012980Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Iha Olma Specialty 1 LLCLivonia, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
97 physician assistant records list a practice address in Livonia
They are 97 of the 4,733 NPPES records with a practice address in Livonia, and 6,989 physician assistant records in Michigan.
All 97 in Livonia → All 6,989 in Michigan → Every provider in Livonia →
Other physician assistant records in Michigan
- Hauraa Aalabdulrasul, PADetroit, MI1467181982
- Kilee Aamodt, PA-CMuskegon, MI1578964300
- Rasha AbbasDetroit, MI1750239505
- Layan Abbasi, PA-CYpsilanti, MI1043045552
- Veronica Abbo, PA-CRoseville, MI1659889806
- Stephanie Abbott, PA-CGrand Rapids, MI1386072825
- Samar Abboud, PA-CYpsilanti, MI1871942144
- Salma Abd Elhamid, PA-CTroy, MI1457245730
- Malak Abdallah, PA-CDearborn, MI1245922194
- Marriam Abdallah, PA-CDearborn, MI1720962574
Common questions
What is Laurel Gotha, PA's NPI number?
Laurel Gotha, PA's National Provider Identifier (NPI) is 1912723826, issued on Nov 25, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Laurel Gotha, PA located?
The NPPES record lists a practice address at 14555 Levan RD Ste 311, Livonia, MI, 48154. Phone: (734) 655-2692. Providers update this record themselves, so call before visiting.
How can I verify Laurel Gotha, PA's license?
NPPES lists Michigan license number 5601012980, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.