BOTSFORD GENERAL HOSPITAL (NPI# 1134557960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134557960 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Other Organization Name | FARMINGTON VILLAGE FAMILY PRACTICE (NP) |
| Practice Address |
32754 Grand River Ave Farmington MI 48336-3133 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 2484763280 |
| Practice Fax Number | 2484763286 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES) |
| Authorized Official Telephone | 9475221911 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOTSFORD GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Farmington Village Family Practice (NP) | 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 |
| 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 |
32754 GRAND RIVER AVE |
| City | FARMINGTON |
| State | MI |
| Zip Code | 48336-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588099071 | Melissa Jean Bedner | Nurse Practitioner | 32754 Grand River Ave, Farmington, MI 48336-3133 | 2013-09-04 |
| 1093007916 | Matthew John Sebastian | Family Medicine | 32754 Grand River Ave, Farmington, MI 48336-3133 | 2011-05-11 |
| 1053603076 | Snezhana Tuxhari | Family Medicine | 32754 Grand River Ave, Farmington, MI 48336-3133 | 2011-05-10 |
| 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 | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033831 | Shelly Cromerkennedy | Registered Nurse | 14583 Archdale St, Detroit, MI 48227-1441 | 2020-11-02 |
| 1487265559 | Rita N Shah | Registered Nurse | 30957 Franklin Woods Ct, Franklin, MI 48025-1512 | 2020-08-12 |
| 1558972737 | Tia Seale | Registered Nurse | 19001 E 8 Mile Rd Ste 102, Eastpointe, MI 48021-3247 | 2020-08-12 |
| 1568080869 | Aubrey Michelle Dewey | Registered Nurse | 49394 Nicholette, Utica, MI 48317-2282 | 2020-07-13 |
| 1659992311 | Michelle Anne Orrell | Registered Nurse | 8431 Winona Dr, Jenison, MI 49428-9540 | 2020-05-04 |
| 1871146084 | Amber Lee Smith | Registered Nurse | 441 County Road Ml, Negaunee, MI 49866-9084 | 2019-07-17 |
| 1275193450 | Tricia Kay Rosa | Registered Nurse | 6767 Knollview Dr, Hudsonville, MI 49426-9388 | 2019-06-19 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1730654732 | Christine Gabriel | Registered Nurse | 3871 Cheryl Dr, Commerce Township, MI 48382-1723 | 2018-10-05 |
| 1730685132 | Daniel Kueppers | Registered Nurse | 3505 Denton Rd, Canton, MI 48188-2107 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 48336 |
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.