Botsford Kidney Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BOTSFORD KIDNEY CENTER

Practice address

28425 8 Mile Rd
Livonia, MI 48152-2008

Phone

(248) 442-7901

Fax

(248) 442-2041

NPI assigned

Jul 19, 2005

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sidney Baskin, MD

Title

President/Ceo/Medical Director

Phone

(248) 442-7901

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1073512372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522008",
            "telephone_number": "248-442-7901",
            "fax_number": "248-442-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28425 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522008",
            "telephone_number": "248-442-7901",
            "fax_number": "248-442-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BASKIN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-442-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791559",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Botsford General Hospital (Comprehensive OBGYN NP)
• Botsford General Hospital
• Botsford General Hosptial
• Botsford General Hosptial (Comprehensive OBGYN Livonia)
• Botsford General Hosptial (Midwest Internal Medicine Assoc. (NP))
• Linda J. Botu, COTA
• Leah Boucha
• Pam Seiler Bourdganis, LBSW, QIDP
• Khalil Bourji, M.D., PH.D.
• Adriana M Bourne, PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.