BOTSFORD GENERAL HOSPITAL (NPI# 1538103395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538103395 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Other Organization Name | INTERNAL MEDICINE ASSOCIATES FARMINGTON HILLS |
| Practice Address |
28100 Grand River Ave Ste 206 Farmington Hills MI 48336-5969 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 9475212710 |
| Practice Fax Number | 2488882712 |
| Enumeration Date | 2006-06-15 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 110H299920 | 01 |
| MI | BLUE CARE NETWORK | G4730F | 01 |
| Other Name | Type Code |
|---|---|
| Internal Medicine Associates Farmington Hills | Doing Business As Name - Organization |
| Midwest Internal Medicine Associates | Other Name - Individual/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 |
28100 GRAND RIVER AVE STE 206 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522807 | Toni L Malec | Physician Assistant | 28100 Grand River Ave Ste 206, Farmington Hills, MI 48336-5969 | 2005-10-17 |
| 1902970890 | Kerry L Stone | Physician Assistant | 28100 Grand River Ave Ste 206, Farmington Hills, MI 48336-5969 | 2006-11-20 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1902370240 | Hasan Arrat Pllc | Internal Medicine | 27100 Winchester Ct, Farmington Hills, MI 48331-3687 | 2019-01-21 |
| 1972085926 | Compassionate Primary Care Services Pllc | Internal Medicine | 30000 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2252 | 2018-09-05 |
| 1124476403 | Joan Porter Price | Internal Medicine | 37110 Fox Chase, Farmington Hills, MI 48331-1810 | 2016-05-27 |
| 1700264231 | Deepshikha Gupta-riley | Internal Medicine | 32255 Northwestern Hwy Ste 170, Farmington Hills, MI 48334-1577 | 2015-05-17 |
| 1447637681 | Samuel Yashinsky | Internal Medicine | 30055 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3211 | 2015-04-27 |
| 1114316726 | Senior Care Physicians Pllc | Internal Medicine | 29122 Creek Bend Dr, Farmington Hills, MI 48331-2606 | 2015-01-20 |
| 1972918829 | Pulsar Medical Group Md PC | Internal Medicine | 38167 Turnberry Ct, Farmington Hills, MI 48331-4800 | 2014-06-29 |
| 1023437498 | Ziad Rabban | Internal Medicine | 31915 Kingswood Sq, Farmington Hills, MI 48334-1222 | 2014-04-14 |
| 1851719991 | Fady Yasso | Internal Medicine | 30055 Northwestern Hwy Ste 170, Farmington Hills, MI 48334-3231 | 2014-04-05 |
| 1548510324 | Soniya Hanif | Internal Medicine | 33742 W 12 Mile Rd, Farmington Hills, MI 48331-3358 | 2012-09-19 |
| 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.