MARY BOTU (NPI# 1215337373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215337373 |
| Entity Type | Individual |
| Full Name | MARY BOTU |
| Practice Address |
3101 S Gulley Rd Ste F-g Dearborn MI 48124-4406 |
| Mailing Address |
136 William St Springfield MA 01105-2324 |
| Practice Telephone | 7344072500 |
| Mailing Telephone | 8002189280 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3101 S GULLEY RD STE F-G |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524103 | Kathryn Kaufmann | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-26 |
| 1043615370 | Adrienna Bartnicki | Occupational Therapist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-10-29 |
| 1265835003 | Meghan O'bryan Plaza | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-10-08 |
| 1568864288 | Gina Tarducci | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-09-25 |
| 1013319730 | Lauren Schneider | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-09-25 |
| 1477953065 | Monique Thomas | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-09-02 |
| 1346640018 | Samantha Faletti | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-29 |
| 1477953537 | Batoul Sobh | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-26 |
| 1437559598 | Margaret Bergiel | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-26 |
| 1891195947 | Janna Taraskavage | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| 1356839781 | Crystal Rose Potter | Technician, Other | 3231 Gulley Rd, Dearborn, MI 48124 | 2018-05-01 |
| 1073018727 | Anthony Stone | Technician, Other | 3231 S. Gulley Rd, Suite E, Dearborn, MI 48124 | 2018-03-26 |
| 1518469519 | Olivia Berry | Technician, Other | 6401 Steadman St, Dearborn, MI 48126-2056 | 2018-03-06 |
| 1164922738 | Zeinab Faraj | Technician, Other | 6306 Schaefer Rd, Dearborn, MI 48126-2285 | 2018-02-20 |
| 1447773155 | Taneisha Sims | Technician, Other | 3231 S. Gulley Rd., Dearborn, MI 48124 | 2017-07-25 |
| 1104378405 | Leah Katherine Keilman | Technician, Other | 22044 Olmstead St, Dearborn, MI 48124-2754 | 2016-11-03 |
| 1922557016 | Zeinab Saleh | Technician, Other | 7053 Kingsley St, Dearborn, MI 48126-1942 | 2016-09-29 |
| 1417405580 | Souad Saleh | Technician, Other | 5137 Horger St, Dearborn, MI 48126-3112 | 2016-09-16 |
| 1033667316 | Wael Dimachk | Technician, Other | 7444 Steadman St, Dearborn, MI 48126-1316 | 2016-09-15 |
| Find all providers in DEARBORN | ||||
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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.