BOTSFORD GENERAL HOSPITAL (NPI# 1871907303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871907303 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Practice Address |
28080 Grand River Ave Suite 306 Farmington Hills MI 48336-5966 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 9475224771 |
| Practice Fax Number | 2484734772 |
| Enumeration Date | 2014-06-12 |
| 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 GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| 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 |
28080 GRAND RIVER AVE SUITE 306 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621474 | Eugene Walter Laveroni Jr. | Surgery | 28080 Grand River Ave, Suite 207, Farmington Hills, MI 48336-5966 | 2005-10-03 |
| 1053762211 | Ashley Armbruster | Surgery | 28080 Grand River Ave, #209, Farmington Hills, MI 48336-5966 | 2016-06-28 |
| 1255782603 | Love Pandey Vimal | Surgery | 28080 Grand River Ave, Suite 208-n, Farmington Hills, MI 48336-5966 | 2016-06-27 |
| 1235589227 | Allison Cristine Dillon | Surgery | 28080 Grand River Ave, Suite 208 North, Farmington Hills, MI 48336-5966 | 2016-06-21 |
| 1093164873 | Marisa Bauters | Surgery | 28080 Grand River Ave, Suite 208-n, Farmington Hills, MI 48336-5966 | 2016-06-13 |
| 1306292438 | Mindy Raminick | Internal Medicine | 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 | 2016-05-07 |
| 1326330945 | George Edward Gopoian | Podiatrist | 28080 Grand River Ave, Farmington Hills, MI 48336-5966 | 2011-05-16 |
| 1497068795 | Daniel Johnston Cranford | Radiology | 28080 Grand River Ave, Farmington Hills, MI 48336-5966 | 2010-07-15 |
| 1669705687 | Anthony John Lutz | Internal Medicine | 28080 Grand River Ave, Ste. 306 N, Farmington Hills, MI 48336-5966 | 2009-09-09 |
| 1003055971 | Casey Ashby | Otolaryngology | 28080 Grand River Ave, Farmington Hills, MI 48336-5966 | 2009-02-16 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1669612875 | Scott Robert Searing | Internal Medicine | 28050 Grand River Ave Ste 306n, Farmington Hills, MI 48336-5919 | 2009-02-27 |
| 1538373360 | Nathan J Foster | Internal Medicine | 30055 Northwestern Hwy. Suite 220, Farmington Hills, MI 48375 | 2007-05-10 |
| 1790776946 | Demetris M Demetriou | Internal Medicine | 29645 W 14 Mile Rd, Ste 200, Farmington Hills, MI 48334-1666 | 2005-11-04 |
| 1003244625 | Community Physicians Inc | Internal Medicine | 37935 W 12 Mile Rd Ste A, Farmington Hills, MI 48331-6102 | 2013-10-16 |
| 1619310885 | George Rami Dirani | Internal Medicine | 32255 Northwestern Hwy Ste 115, Farmington Hills, MI 48334-1538 | 2013-04-08 |
| 1720280464 | Dr Stephen D Senecoff Md PC | Internal Medicine | 30500 Northwestern Hwy, Ste 316, Farmington Hills, MI 48334-3159 | 2007-06-04 |
| 1952525917 | Robert C Maynard | Internal Medicine | 30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 | 2007-04-12 |
| 1619085917 | Consultants In Cardiology PC | Internal Medicine | 30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 | 2006-08-27 |
| 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.