BOTSFORD GENERAL HOSPITAL (NPI# 1821006255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821006255 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Other Organization Name | RESIDENT OBGYN CLINIC |
| Practice Address |
28711 8 Mile Rd Suite E Livonia MI 48152-2040 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Practice Telephone | 2484763260 |
| Practice Fax Number | 2484766551 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | MR. DAVID L MARCELLINO (CORPORATE VP AND CFO) |
| Authorized Official Telephone | 2484718155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Resident OBGYN Clinic | 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 |
28711 8 MILE RD SUITE E |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376585703 | Botsford General Hosptial | Obstetrics & Gynecology | 28711 8 Mile Rd, Suite E, Livonia, MI 48152-2040 | 2006-06-11 |
| 1104144500 | Botsford General Hospital | Nurse Practitioner | 28711 8 Mile Rd, Ste C, Livonia, MI 48152-2040 | 2010-05-10 |
| 1861698995 | Sara Kaye Schallmo | Obstetrics & Gynecology | 28711 8 Mile Rd, Livonia, MI 48152-2040 | 2007-06-25 |
| 1346277290 | Richard G Herman | Obstetrics & Gynecology | 28711 8 Mile Rd, Suite C, Livonia, MI 48152-2040 | 2006-06-27 |
| 1356387708 | Ted Podeszwa | Internal Medicine | 28711 8 Mile Rd, Suite D, Livonia, MI 48152-2040 | 2006-06-22 |
| 1487698247 | Botsford General Hosptial | Obstetrics & Gynecology | 28711 8 Mile Rd, Suite C, Livonia, MI 48152-2040 | 2006-06-15 |
| 1457393514 | Adrienne M Stanley | Obstetrics & Gynecology | 28711 8 Mile Rd, C/o Comprehensive Obgyn, Livonia, MI 48152-2040 | 2006-06-12 |
| 1831131788 | David Lang | Internal Medicine | 28711 8 Mile Rd, Suite D, Livonia, MI 48152-2040 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1679928717 | Haddad Medical PC | Obstetrics & Gynecology | 37497 Bristol Ct, Livonia, MI 48154-1260 | 2016-04-26 |
| 1861877730 | Aldo Rafael Nunez Hruska | Obstetrics & Gynecology | 20276 Middlebelt Rd Ste 2, Livonia, MI 48152 | 2015-07-21 |
| 1982901682 | Gene A Saunders | Obstetrics & Gynecology | 32930 Brier Ct, Livonia, MI 48152-3210 | 2011-02-16 |
| 1699004226 | Advanced Ob-gyn of Michigan | Obstetrics & Gynecology | 18400 Farmington Rd, Livonia, MI 48152-3588 | 2009-12-10 |
| 1104950021 | Womancare of Livonia, P.C. | Obstetrics & Gynecology | 27634 5 Mile Rd, Livonia, MI 48154-3946 | 2007-03-15 |
| 1619025392 | Southfield Lathrup Obstetrics and Gynecology PC | Obstetrics & Gynecology | 20276 Middlebelt Road, Suite 2, Livonia, MI 48152 | 2007-01-08 |
| 1528078052 | M Hassan Neal | Obstetrics & Gynecology | 10533 Farmington Rd, Livonia, MI 48150-5734 | 2006-08-08 |
| 1629082870 | William G Anderson II | Obstetrics & Gynecology | 20216 Farmington Rd, Livonia, MI 48152-1412 | 2006-07-27 |
| 1811939762 | Adam S Cooper | Obstetrics & Gynecology | 28711 8 Mile Rd Ste C, Livonia, MI 48152-2041 | 2006-06-12 |
| 1376585703 | Botsford General Hosptial | Obstetrics & Gynecology | 28711 8 Mile Rd, Suite E, Livonia, MI 48152-2040 | 2006-06-11 |
| Find all providers in LIVONIA | ||||
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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.