BOTSFORD GENERAL HOSPITAL (NPI# 1609900828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609900828 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Other Organization Name | PREMIER OBGYN |
| Practice Address |
28100 Grand River Ave Suite 306 South Farmington Hills MI 48336-5967 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 9475212649 |
| Enumeration Date | 2007-03-16 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Premier OBGYN | 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 |
28100 GRAND RIVER AVE SUITE 306 SOUTH |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801319 | Homer C Linard | Orthopaedic Surgery | 28100 Grand River Ave, Ste 209, Farmington Hills, MI 48336-5969 | 2005-06-14 |
| 1780242545 | Alhan Beydoun | Family Medicine | 28100 Grand River Ave, Farmington Hills, MI 48336-5967 | 2019-06-05 |
| 1295236172 | Devanshi Hardik Patel | Physical Therapist | 28100 Grand River Ave, Farmington Hills, MI 48336-5967 | 2018-02-26 |
| 1013417534 | Samata Kosna | Physical Therapist | 28100 Grand River Ave, Farmington Hills, MI 48336-5967 | 2018-02-21 |
| 1255868972 | Sarah Mills | Orthopaedic Surgery | 28100 Grand River Ave, Suite 200, Farmington Hills, MI 48336-5967 | 2017-05-11 |
| 1316473424 | Robert Cope | Orthopaedic Surgery | 28100 Grand River Ave, Suite 200, Farmington Hills, MI 48336-5967 | 2017-05-10 |
| 1548795230 | William Talmadge Gunther IIi | Family Medicine | 28100 Grand River Ave, Ste. 313, Farmington Hills, MI 48336-5967 | 2017-05-01 |
| 1083094676 | Alex Robert Martin | Radiology | 28100 Grand River Ave, Ste 313-south, Farmington Hills, MI 48336-5967 | 2015-06-09 |
| 1154701084 | Marisa Burla | Family Medicine | 28100 Grand River Ave, Suite 313 South, Farmington Hills, MI 48336-5967 | 2015-06-05 |
| 1437301405 | Botsford General Hosptial | Dietitian, Registered | 28100 Grand River Ave, Suite 301, Farmington Hills, MI 48336-5967 | 2008-10-21 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1578944716 | Jenha Leann-muir Dargin | Obstetrics & Gynecology | 28100 Grand River Ave Ste 306s, Farmington Hills, MI 48336-5970 | 2015-06-13 |
| 1770997629 | Caitlyn Lee Klaska | Obstetrics & Gynecology | 28555 Orchard Lake Rd Ste 120, Farmington Hills, MI 48334 | 2014-06-19 |
| 1922246057 | Charlene V. Williams Md PC | Obstetrics & Gynecology | 24622 Adams Ct, Farmington Hills, MI 48335-1800 | 2009-01-28 |
| 1295957926 | Kimberly Dwan Moore | Obstetrics & Gynecology | 30055 Northwestern Hwy Ste 270, Farmington Hills, MI 48334-3240 | 2007-05-03 |
| 1891739116 | Judith A Joslin-page | Obstetrics & Gynecology | 35125 Grand River Ave, Farmington Hills, MI 48335-3211 | 2006-06-16 |
| 1730138173 | Joseph Berenholz | Obstetrics & Gynecology | 30445 Northwestern Hwy Ofc 100, Farmington Hills, MI 48334-3168 | 2006-05-10 |
| 1629048772 | Kamlesh Kumari-lobo | Obstetrics & Gynecology | 24353 Orchard Lake Rd, Suite E, Farmington Hills, MI 48336-1917 | 2006-01-23 |
| 1972587475 | James E Labes | Obstetrics & Gynecology | 28555 Orchard Lake Rd, Ste 120, Farmington Hills, MI 48334 | 2005-11-30 |
| 1225029473 | Laura H Gruskin | Obstetrics & Gynecology | 34505 W 12 Mile Rd, Ste 195, Farmington Hills, MI 48331-3258 | 2005-11-04 |
| 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.