BOTSFORD GENERAL HOSPITAL


Address: 39750 Grand River Ave, Attn Omm Clinic, Novi, MI 48375-2106
Phone: 2484776100

BOTSFORD GENERAL HOSPITAL (NPI# 1013079573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013079573
Entity Type Organization
Organization Name BOTSFORD GENERAL HOSPITAL
Other Organization Name BOTSFORD HOSPITAL OMM TRACC
Practice Address 39750 Grand River Ave
Attn Omm Clinic
Novi
MI 48375-2106
Mailing Address 26901 Beaumont Blvd
Southfield
MI 48033-3849
Practice Telephone 2484776100
Practice Fax Number 2484738480
Enumeration Date 2006-12-14
Last Update Date 2019-08-21
Authorized Official Name DAVID MARCELLINO (CFO)
Authorized Official Telephone 2484718157
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Botsford Hospital OMM TRACC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700442597 Botsford General Hospital Clinic/Center 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 2019-05-16
1780819664 Botsford General Hospital Family Medicine 14001 Greenfield, Detroit, MI 48227-2101 2009-05-21
1821116609 Botsford General Hospital Clinic/Center 21440 Archwood Cir, Farmington Hills, MI 48336-4127 2007-03-27
1871521153 Botsford General Hospital Family Medicine 28100 Grand River Ave Ste 313s, Farmington Hills, MI 48336-5970 2006-06-28
1568404853 Botsford General Hospital Clinic/Center 26905 Grand River Ave, Redford, MI 48240-1602 2006-06-12
1245896000 Botsford General Hospital Clinic/Center 26901 Beaumont Blvd., Community Health - D - 5, Southfield, MI 48033 2019-05-16
1720593478 Botsford General Hospital Social Worker 25605 Orangelawn, Redford, MI 48239-2048 2017-12-04
1609311794 Botsford General Hospital Emergency Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2016-12-27
1972054039 Botsford General Hospital Physician Assistant 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2016-10-24
1013468198 Botsford General Hospital Nurse Practitioner 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2016-10-24

Office Location

Street Address 39750 GRAND RIVER AVE
ATTN OMM CLINIC
City NOVI
State MI
Zip Code 48375-2106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134747363 Quick Care Medical Devices, LLC Durable Medical Equipment & Medical Supplies 25500 Meadowbrook Rd 275b, Novi, MI 48375 2020-07-14
1205475209 Terri Lynn Tiederman Registered Nurse Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 2019-12-23
1588202089 Kenneth Alexander Pharmacist 40339 Grand River Ave # 110, Novi, MI 48375 2019-12-15
1962044644 Sam Pharmacy Rx Pharmacy 39915 Grand River Ave Suite 550, Novi, MI 48375 2019-10-14
1700440203 Arman C. Moshyedi, Md, Pllc Psychiatry & Neurology 4000 Grand River Avenue, Suite 306, Novi, MI 48375 2019-04-30
1225593726 Daniel Woodward Mead Nurse Practitioner 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 2019-02-08
1700340569 Nuch of Michigan, Inc. Clinic/Center 20782 Thirteen Mile Road, Roseville, MI 48375 2019-01-25
1447735626 Timothy Holland Behavior Technician 41521 W Ll Mile Rd, Novi, MI 48375 2018-10-03
1750874376 Christian Field Behavior Technician 41512 W 11 Mile Rd, Novi, MI 48375 2018-06-08
1114415668 O2 Pharmacy, LLC Pharmacy 39765 Grand River Ave, Novi, MI 48375 2018-04-30
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Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144559642 Stephen I. Goldman, D.o., P.C. Neuromusculoskeletal Medicine & OMM 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 2009-12-11
1619036118 Stephen Ira Goldman Neuromusculoskeletal Medicine & OMM 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 2006-12-08
1245228790 Maury Ruben Ellenberg Neuromusculoskeletal Medicine & OMM 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 2005-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689297756 Nathan Barnhurst Neuromusculoskeletal Medicine & OMM 4660 Hagadorn Rd #500, East Lansing, MI 48823 2020-05-25
1649634411 Benjamin J Visger Do Pllc Neuromusculoskeletal Medicine & OMM 1865 Lawnel Ave, Norton Shores, MI 49441-3742 2016-04-07
1639583206 John Morasso Neuromusculoskeletal Medicine & OMM 6525 West Maple Rd., Ste 101 E, West Bloomfield, MI 48322-4930 2014-06-11
1477845618 Bashar Abou-rass Neuromusculoskeletal Medicine & OMM 4673 Ravine Dr, Bloomfield, MI 48301-3640 2011-05-06
1891964292 Adam Gregg Feinstein Neuromusculoskeletal Medicine & OMM 36397 Harper Ave, Clinton Township, MI 48035 2008-02-29
1902005762 Ravi David Yarid Neuromusculoskeletal Medicine & OMM 12 E Bacon St, Suite 120, Hillsdale, MI 49242-1616 2007-07-12
1477752327 Amelia Louise Bueche Neuromusculoskeletal Medicine & OMM 818 Red Dr Ste 100, Traverse City, MI 49684 2007-07-12
1730384744 Douglas Reed Jackson Neuromusculoskeletal Medicine & OMM 3211 Applewood Rd, Midland, MI 48640-2666 2007-06-19
1104031574 Ronald Edmund Gren Neuromusculoskeletal Medicine & OMM 19500 Pierson Dr, Northville, MI 48167-2650 2007-05-11
1124240858 Amber M. Gruber Neuromusculoskeletal Medicine & OMM 44250 Dequindre, Family Medicine Center, Sterling Heights, MI 48314 2007-05-03
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Competitor

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City NOVI
Zip Code 48375

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Dataset Information

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.

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