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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Botsford Hospital OMM TRACC | Doing Business As Name - Organization |
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 |
Street Address |
39750 GRAND RIVER AVE ATTN OMM CLINIC |
City | NOVI |
State | MI |
Zip Code | 48375-2106 |
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 |
Find all providers in zip 48375 |
Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
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 |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BOTSFORD GENERAL HOSPITAL.
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.