BOTSFORD GENERAL HOSPITAL (NPI# 1013468198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013468198 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Practice Address |
28050 Grand River Ave Farmington Hills MI 48336-5919 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 2484718147 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES) |
| Authorized Official Telephone | 9475221911 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOTSFORD NURSE PRACTITIONER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1060000070 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1013079573 | Botsford General Hospital | Neuromusculoskeletal Medicine & OMM | 39750 Grand River Ave, Attn Omm Clinic, Novi, MI 48375-2106 | 2006-12-14 |
| 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 |
| Street Address |
28050 GRAND RIVER AVE |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811662 | Jyothsna Yalavarthi | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2005-06-20 |
| 1649895848 | Tehreem Sajjad | Podiatrist | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401064 | Anthony Ibrahim | Pharmacy | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401155 | Darlene Pham | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-11 |
| 1497370050 | Lawrence Jajou | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1548885072 | Ricardo Hernandez | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1669096335 | Krystle Gish | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1588288278 | Jordan Matthew Correll | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1053934760 | Brandon Baroff | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-28 |
| 1912520651 | Aaron W Hess | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346707825 | Leonard Weinberger | Nurse Practitioner | 32255 Northwestern Hwy Ste 165, Farmington Hills, MI 48334-1505 | 2019-02-21 |
| 1609357078 | Nancy Michael | Nurse Practitioner | 33742 W 12 Mile Rd Ste B, Farmington Hills, MI 48331-3358 | 2018-08-23 |
| 1497266753 | Elizabeth Renee Dixon | Nurse Practitioner | 30335 W 13 Mile Rd Ste 103, Farmington Hills, MI 48334-2262 | 2017-10-13 |
| 1518482116 | Scioto Inc | Nurse Practitioner | 31547 W 13 Mile Rd, Farmington Hills, MI 48334-2103 | 2017-08-04 |
| 1780040246 | Pamela Moraa Obare | Nurse Practitioner | 36839 Greenspring St, Farmington Hills, MI 48331 | 2016-01-13 |
| 1477970531 | Chamkaur Gill | Nurse Practitioner | 39353 Heatherbrook Dr, Farmington Hills, MI 48331-2918 | 2014-03-26 |
| 1164436119 | Gary Kenneth Hunsinger Jr. | Nurse Practitioner | 30055 Northwestern Hwy Ste 220, Farmington Hills, MI 48334-3275 | 2006-07-27 |
| 1164056313 | Taylor Renee Heimke | Nurse Practitioner | 32255 Northwestern Hwy Ste 130, Farmington Hills, MI 48334-1505 | 2020-02-26 |
| 1518438332 | Tywanna R Tanner | Nurse Practitioner | 31500 W 13 Mile Rd, Ste 100, Farmington Hills, MI 48334-2172 | 2018-12-06 |
| 1568964658 | Kristin Marie Koss | Nurse Practitioner | 33742 W 12 Mile Rd, Farmington Hills, MI 48331-3358 | 2018-03-05 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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| 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.